Inspection on 14/11/05 for 60 Olive Lane

This inspection was carried out on 14th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

60 Olive Lane 22/06/09

60 Olive Lane 02/05/07

60 Olive Lane 23/05/05

60 Olive Lane 11/03/05

60 Olive Lane 29/11/04

60 Olive Lane 24/03/04

Similar services:

Tanglewood

88 Church Lane

Harmony Care Home

Olivet Christadelphian Care Homes

Sayer House

Beacon Centre For The Blind

Bryndale Avenue, 41 Flats 13, 14 & 18

Primrose Place

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

CARE HOME ADULTS 18-65 60 Olive Lane Blackheath Halesowen West Midlands B62 8LZ Lead Inspector Mrs Cathy Moore Unannounced Inspection 14th November 2005 09:00 60 Olive Lane DS0000025025.V265538.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 60 Olive Lane DS0000025025.V265538.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. 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 60 Olive Lane Address Blackheath Halesowen West Midlands B62 8LZ 0121 559 0031 0121 561 1288 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) The Royal Insitiute for Deaf People Rosemarie Foster Care Home 8 Category(ies) of Sensory impairment (8) registration, with number of places 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 service users in the category SI(E) may be accommodated at the home at any one time. 23/05/05 Date of last inspection Brief Description of the Service: Olive Lane is managed by the Royal Institute for the Deaf (RNID) and is registered to provide care to 8 residents, predominantly younger adults (aged between 18 and 65 years) who have a hearing impairment. A number of residents have other needs in addition to their hearing impairment, for example learning or physical disability. A condition has been approved to enable 3 existing residents who are over the age of sixty-five to remain accommodated. The home is situated in a residential area close to Blackheath town centre and is accessible to a main public transport route. The home has a good sized rear garden and dedicated parking to the side. Olive Lane was purpose built, opened and registered as a care home in the mid 1990s. The building itself is owned by Black Country Housing Association. The home is detached and of a generous size. It consists of two floors and offers 8 single occupancy bedrooms, a number of these are of a generous size and all meet the required size specifications. Communal areas, the lounge, kitchen and dining area are on the ground floor, together with a number of bedrooms, toilets, bathroom and the laundry. The first floor has further bedrooms, toilets, a bathroom and office facilities. 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by one inspector, on one day, between 09.00 and 12.55 hours. The inspection was the second of the homes two routine inspections for this year. The premises were partly assessed this included the dining room, garden, ground floor corridors and a ground floor toilet. Records relating to the newest staff member and resident were examined. Complaints / quality assurance processes were discussed. Medication systems were assessed. Three residents’ were observed interacting with staff. It was not possible to communicate with them privately as the inspector does not have sign language skills. Two staff members were briefly spoken to. The manager was involved in the inspection process. Not all standards were assessed during this inspection for a full overview of service delivery this report should be read along side the last report dated 23 May 2005. What the service does well: The home is fit for purpose, bright cheerful, welcoming with a positive atmosphere. A number of staff have worked at the home for numerous years ensuring consistency of care. Relationships between staff and residents’ continue to be good. Observations of interactions between staff confirmed this. The organisation and staff are committed to providing a good level of service to residents’ in their care. There was ample evidence to demonstrate that residents’ are encouraged and enabled to be independent and make choices and decisions about how they wish to live. As observed during previous inspections the staff demonstrated motivation, commitment and a good knowledge of the people in their care. The staff are caring and friendly. Residents’ seen looked well cared for and content. They were fully confident to approach staff about different issues and for clarity. 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 Page 6 Medication systems are well managed they are robust and safe. 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. 60 Olive Lane DS0000025025.V265538.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 60 Olive Lane DS0000025025.V265538.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): 2,5 Prospective residents’ individual aspirations and needs are assessed prior to them being offered a placement at the home. Residents’ are issued with a terms and conditions document. EVIDENCE: The file of the newest resident to be admitted was assessed to determine assessment of need processes. There was ample evidence to demonstrate that a thorough assessment of need had been undertaken which included the home meeting the resident, holding a number of pre-admission meetings with other agencies and overnight stays at the home. A number of discussions have been held between the manager and the Commission for Social Care Inspection about the home registration certificate. The manager is concerned that a number residents’ do have other needs in addition to their sensory impairment. The Commission for Social Care Inspection office at Halesowen is satisfied with the current registration category, which is for sensory impairment, as the home would not consider residents’ if they did not have needs which fall within this category. The file of this newest resident included a terms and conditions document which contained the required information. 60 Olive Lane DS0000025025.V265538.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): 7 Residents’ make decisions about their lives with assistance as needed. EVIDENCE: There was ample evidence available to demonstrate that residents’ are enabled to make decisions about their lives and are given assistance to do so. One resident is assisted to visit her boyfriend who lives in another part of the country. The new resident likes to go to the shops independently. The home enabled this by risk assessment and escorting him to the shops until it was felt that he was safe to go alone. Which he does now on a regular basis. Residents’ are enabled in decision making about what they do on a daily basis, who they see, where they go and how they want to occupy their time. 60 Olive Lane DS0000025025.V265538.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): 17 Generally residents’ are offered a healthy diet enjoy their meals and meal times. EVIDENCE: The home offers flexible mealtimes for those residents’ who want flexible mealtimes. It was observed that one resident had her breakfast after 11am. The home secures input from community dieticians on an ‘ as needed basis’. Two residents’ one of whom has diabetes, the other for weight monitoring are seen by the dietician. The main mealtime takes place in the evening. The residents’ were having baked potatoes for their lunch on the day of the inspection. The dining room is bright, airy and comfortable. Residents’ often eat together. The home has a menu, which is produced with the input from residents’. Menus are discussed regularly during resident meetings. Residents’ who do not 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 Page 11 what is offered want what is offered on the menu on any given day can and do ask for something else. The present menu does not detail supper options. Similarly, although it is positive that daily food consumption records are in operation these do not reflect supper consumed by residents’. 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 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): 20. Residents retain their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medication. EVIDENCE: The home’s medication systems are of a good standard. The home has a robust medication policy which covers all of the required areas examples being; ordering, storage, administration and medication errors. Practice demonstrated compliance with this policy examples being; ‘ as required’ medications have to be discussed with the duty manager before administration, copies of prescriptions are retained on site, that all incoming medication is counted and recorded. All staff who are responsible for medications have received safe handling of medication accredited training. The medications are provided by Boots pharmacy who carry out regular audits of the home’s medication systems. A monitored dosage system is used for medication administration. Medications are stored in a locked medication cupboard. Excess medication is not held by the home. 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 Page 13 It was identified that two residents’ at times, examples being when they go out hold their own medication. However, there were no risk assessments in place for these residents’. The medication storage room temperature was 24oc. Daily temperature recordings of this room would confirm that at no time the temperature exceeds 25oc. 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 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. Residents’ are assured that their views are listened to and acted on. EVIDENCE: The home has a written complaints procedure which is available within the home. The complaints procedure contains all of the required information. No complaints have been received by the home for a number of years. The manager confirmed that the complaints procedure is going to be produced in different formats in the near future to make it more appropriate to all residents’ 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 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): 24,30. Residents’ live in a homely, comfortable, safe environment. EVIDENCE: The premises are fit for purpose and adequate for the needs of the residents’ in terms of size, accessibility and the availability of communal areas. Communal areas seen were homely, bright and airy. Since the last inspection the fire alarm panel has been replaced and the garden has been re-slabbed enhancing its appearance and safety. It was noted that general/ day-to-day wear and tear is taking its toll on the décor. Carpets in the corridors and dining room although only fitted within the last two years are stained in a number of areas. The manager confirmed that she was disappointed with the quality of the carpets and would not use that supplier in future. The home overall was seen to be adequately clean and hygienic. Cleaning schedules are in operation. Protective clothing is available within the home. The majority of staff have received infection control training from the infection control nurse. Two staff at the present time are undertaking the accredited 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 Page 16 infection control course. The manager confirmed that other staff would be nominated for this course in the future. It is pleasing that the home has installed a second sink in the laundry for hand wash purposes only. 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 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): 32,35. Residents’ benefit from clarity of staff roles and responsibilities. Residents’ individual and joint needs are met appropriately by staff. EVIDENCE: The home actively ensures that staff receive appropriate training in order for them to do their jobs effectively. The majority of existing staff have received all of the required mandatory training. All staff can use sign language or are learning. Sufficient staff on each shift can sign effectively. 5 of the 16 staff (This includes relief staff have attained N.V.Q level 2 or above). At least three other staff are working towards this qualification. The deputy is working towards her N.V.Q level 4. Generally staff do receive the 5 paid training days per year. A training matrix was available within the home which the manager confirmed is due to be updated. 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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. Further developments are needed to ensure that residents’ can be fully confident that their views underpin all monitoring and developments in the home. EVIDENCE: The service manager visits the home at least once a month and complies a written report. The CSCI has not received these reports for some time. There was evidence that the home uses satisfaction questionnaires which cover a number of areas. The manager confirmed that further work needs to be done which is being addressed to ensure that the home meets all of standard 39. 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 Page 19 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 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x 3 x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 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 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 60 Olive Lane Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x x x DS0000025025.V265538.R01.S.doc Version 5.0 Page 20 yes 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 YA10 Regulation 12(4)(5) Requirement The registered provider and manager must: Produce and give a statement on confidentiality to partner agencies, setting out the principles governing the sharing of information. (Timescale of 01/07/05 not fully met). 2 YA17 17(2) SCHED 4,13 The registered provider and manager must ensure the following; 01/12/05 Timescale for action 01/01/06 3 YA20 13(2) -That the menu details supper choices. -That the food consumption charts detail food eaten at suppertime. The registered provider and 01/12/05 manager must ensure the temperature of the medication room is taken and recorded daily to ensure it remains below 25oc 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 Page 21 4 YA20 13(2) 5 YA21 The registered provider and manager must ensure that a risk assessment is carried out for any resident who holds their medication. (For example inhalers). 12(4)(5)13(1) The registered provider and manager must ensure that where possible the choices and wishes of individual residents are explored and documented on the areas of; Death and dying. Ageing and illness. (Timescale of 23/06/05 not fully met). 01/12/05 01/01/06 6 YA24 23(2)(d) 7 YA34 19(5) The registered provider and manager must submit a redecorating/ re-carpeting programme to the CSCI which details timescales for action. The registered provider and manager must ensure that all staff complete a health declaration and this is assessed as satisfactory or otherwise before they commence employment 10/01/06 14/11/05 8 YA37 9(2) (Timescale of 23/05/05 not fully met not on file for S.N). The registered provider and 01/07/06 manager must ensure that the manager completes both NVQ level 4 in care and management. The manager has completed the management component well done. Has commenced the care component DS0000025025.V265538.R01.S.doc Version 5.0 Page 22 60 Olive Lane 9 YA39 26(5)(a) 10 YA39 24(1) 11 YA40 17(2) The registered person must ensure that a Regulation 26 report is forwarded to the Halesowen CSCI office on a monthly basis. The registered provider and manager must continue with work to ensure that all requirements of standard 39 are met. The registered provider and manager must ensure that all policies and procedures are reviewed on an annual basis Timescale of 01.05.05 not met This to include the following: Access to records policy. (Timescale of 01/07/05 not fully met). The registered provider and manager must continue to consider having the vibrating pillow alarms replaced. 14/12/05 01/03/06 01/01/06 12 YA42 13(4)23(4) 01/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 60 Olive Lane DS0000025025.V265538.R01.S.doc Version 5.0 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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