Inspection on 22/06/05 for 7 Crawford Street

This inspection was carried out on 22nd June 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

7 Crawford Street 21/05/07

7 Crawford Street 27/01/06

7 Crawford Street 20/12/04

7 Crawford Street 18/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 7 CRAWFORD STREET 7 Crawford Street Bolton Lancs BL2 1JG Lead Inspector Mike Murphy Announced 22 June 2005 nd 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. 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 7 Crawford Street Address 7 Crawford Street Bolton Lancs BL2 1JG 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) Royal Mencap Society 01204 398122 Mr P Rimmer CRH Care home only 6 Category(ies) of LD Learning disabilities registration, with number of places 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The service should employ a suitable qualified and experienced manager wo is registered with the Commission for Social Care Inspection. Date of last inspection 20th December 2004 Brief Description of the Service: Crawford Street is operated by Mencap. It provides a short stay service for adults who have a learning disability.The people who use the service are referred to as ‘guests’ and the inspector has therefore used this term, rather than ‘service user’ or resident, throughout this report. The house itself is a large bungalow with ramped access and a number of adaptations designed to meet the needs of people with physical disabilities.The home is situated close to Bolton town centre, off the main Bolton to Bury road, and within easy reach of shops and leisure facilities.Accommodation is provided in single bedrooms throughout. 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was the home’s first of two annual inspections for the inspection year 2005 to 2006. The inspection took place over six hours. The inspection included a tour of the premises, inspection of care and other records maintained at the home, discussion with management and staff, and consideration of responses in returned questionnaires sent to guests, their supporters and others who visit the home such as social workers, doctors and nurses prior to the inspection. The home was well-managed and provided guests with a clean and comfortable environment in which to stay. Guests were supported and cared for appropriately and encouraged to make personal choices and retain as much personal independence as possible within an environment that is structured to protect their safety and well being. What the service does well: What has improved since the last inspection? There has been a definite improvement in the home’s environment since the last inspection – the shower and bathroom are being refurbished, the corridors and some of the guest bedrooms have been redecorated. 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 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. 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 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 standard(s) 1,2,3,4. The home provides appropriate and relevant information for prospective guests and their supporters to make informed choices about the suitability of the home to meet the very specialised needs of guests. EVIDENCE: Mencap has a contract for all the places in the establishment with the local authority. Charges for the service are based on financial assessment. The home has a statement of purpose included in a “starter pack” given to each guest. The pack contains a range of information, including a copy of the complaints procedure. The pack is also available in Gujarat and Punjabi. Admissions take place when a community care assessment has been carried out by the specialist social work team. Further assessment is carried out by the staff from the service prior to introductions taking place. Care plans developed from initial assessments were in place. Such assessments ensure that guests placements are appropriate and are able to meet their needs. 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 Page 9 From discussions with staff and observations made during the inspection it was evident that, collectively, the staff team have the skills and experience to deliver appropriate care and support. The service has a staff worker who speaks Gujarat; an invaluable resource in meeting the cultural and communication needs of some guests. The home has a written admissions policy. In respect of planned admissions the introductory process for new guests is tailored to the individual, taking account of needs and wishes. 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 Page 10 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) 6,7,9. Each guest who enters the home for a particular period of time is able as far as possible to retain as much independence as possible, participate in decisions regarding their daily lives and take risks that enable an independent lifestyle. The degree of this independence is within a care environment that also seeks to ensure the health safety and general well being of guests. Guests supporters are consulted at all stages of assessment, care planning, during the stay at the home and in respect of any issues on leaving the home. EVIDENCE: Care planning takes place in consultation with the guest and his or her family and is based on the person’s usual routine and daily experiences at home. Personal preferences and individual support guidelines are documented and regularly reviewed. Guests and/or their representatives are asked to sign the care plan. Documentation examined, and observations of practice, support the finding that the rights and choices of guests are maximised within a considered risk assessment framework. 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 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 standard(s) 11,12,13,14,15,16, 17. As guests only stay at the home for relatively short periods of time the home seeks to create a lifestyle for guests that is as consistent as possible with their life with their own families or carers. This is achieved by guests being able to continue to engage in activities – particularly within the community – that they usually engage in at all other times. This is achieved through the assistance of staff at the home. EVIDENCE: As this is a short break service, links have been developed with other agencies involved in the support and development of each person to achieve some consistency of care. An example of this would be the key worker attending a day service review. While staying at Crawford Street, guests are encouraged to retain independent living skills, such as helping to prepare snacks or tidying up. During their stay at Crawford Street, guests are supported to continue to their usual daytime activities. These may include college attendance or participation in therapeutic activities or training. Care plans contain details of 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 Page 12 preferences in terms of social activities and daily records contain information about activities undertaken. People are supported in accessing the local community through shopping trips, visits to restaurants, pubs, the cinema, etc. Guests are free to maintain their usual links and friendships during their stay. There are open visiting arrangements, with family and friends free to visit the home with the guest’s agreement. Meal times are flexible. Preferences are ascertained and recorded and the weekly shopping is planned around the needs of the guests staying that week. Individual dietary records are kept. There was evidence that cultural needs are considered, for example, the provision of halal meals for Muslim guests. 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 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 standard(s) 18,19,20. The home continues to provide appropriate personal and healthcare support in a way that meets the assessed needs of guests who periodically stay at the home. EVIDENCE: There was evidence that guests receive personal support in the way they prefer and require. For example, where the staffing needs of an individual are gender specific, the staff rota is arranged accordingly. Another example concerns the provision of staff training in the use of specialised equipment. There was evidence that the home liaises with healthcare professionals as necessary. Staff members support guests in attending appointments. The home has written procedures covering accidents and infection control. The home adheres to safe policies and procedures with respect to medication. Medicine storage and administration arrangements were satisfactory. 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 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. Appropriate attention had been given to provide an environment where guests and their supporters feel comfortable with making a complaint if necessary, and to prevent residents becoming victims of abuse. EVIDENCE: A formal and accessible complaints procedure was in place. The home has appropriate adult protection policies and procedures in place. Ongoing training for staff and supervision ensures that potential protection issues are highlighted and addressed as they arise. 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 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) 24,25,26, 27, 28,29,30. Crawford Street is situated close to a main road within easy reach of bus routes, shops and other community facilities. It is clean, comfortable and homely. A programme of maintenance and refurbishment was in operation. 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 Page 16 EVIDENCE: The home provides bungalow type accommodation for guests and all areas of the home and garden are accessible to wheel chair users. Guest bedrooms were clean, appropriately decorated, furnished and equipped. Appropriately adapted beds and other equipment were in place to meet the various care needs of guests. Appropriate provision has been made in terms of toilet and bathing/ shower facilities. A bathroom and shower room were in the process of being upgraded and refurbished at the time of this inspection. Guests are provided with appropriately/comfortably furnished lounge and dining areas that also contain a range of leisure equipment. These areas were clean and accessible to guests. The inspector was informed that it is proposed to replace the floor covering in the dining room and redecorate and refurbish the kitchen. Environmental aids and adaptations available include an adjustable height bath, portable hoist, tracking hoist, grab rails and ramps. The home has purchased a shower table that will be fitted as part of the refurbishment of the shower room. Individual guest needs, in relation to disability equipment are met, following assessment by an appropriate health care professional. The home was clean and free of malodour on the day of this inspection. Suitable hand washing facilities and infection control measures are in place. Adequate stocks of linen were in place. Laundry arrangements were appropriate to the size of the home. 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 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) 33,34,35,36. Staff provision at the home was meeting the minimum requirements for a care home of this type. However the staffing numbers need to be reviewed in light of the increasing dependency levels of guests and the desire to provide a diverse range of stimulating and appropriate leisure activities for guests. EVIDENCE: Discussion with management and staff and inspection of guests care records indicate that whilst staff were managing to provide appropriate care guests needs have become increasingly complex over recent years. This along with the home seeking to maintain and develop guests social and leisure activities within the home and the community does necessitate staffing provision at the home to be reviewed. Inspection of 2 recently employed staff personnel files revealed that these contained an application form (including health declaration), 2 written references, a Criminal Records Bureau check (including a ‘POVA first’ check), proof of identity (including a photograph), and evidence of induction and further training. Staff members undertake the LDAF (Learning Disability Award Framework) induction and foundation training. Training records indicate that all staff have received, or are due to receive updated training in mandatory topics –apart 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 Page 18 from fire safety training - and in specialised interventions where appropriate. Good staff supervision, appraisal and support arrangements are in place. 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 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) 37,38,39,40,41,42,43. The home continues to be very well managed. The home manager has been in post for a considerable number of years, is very experienced and is registered with the CSCI. EVIDENCE: The manager has substantial management experience and is working towards the Registered Manager’s Award and the NVQ Assessor Award. The inspector considered that this was a well managed home and that the manager is committed and enthusiastic. Staff said they find the manager approachable. An open, positive and inclusive atmosphere is achieved through several processes. Examples include team meetings, parents’ and carers’ forums, the use of a communication book as well as day-to-day communication between the staff and management. A range of inspection and maintenance records were examined and found to be generally in good order. These included workplace risk assessments, fire 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 Page 20 precautions, 5 year electrical safety inspection and gas safety and water temperature checks. However the inspector was unable to view up to date servicing records in respect of the 2 tracking and 1 mobile hoists, and portable electrical appliances within the home. 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 7 CRAWFORD STREET Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 2 x F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 Page 22 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 24 Regulation 16 and 23 Requirement That the registered persons submit a written plan to the CSCI detailing when the dining room floor covering is to be replaced and the decoration/refurbishment of the kitchen will be completed. That the registered persons conduct a review of staffing arrangements at the home and inform the CSCI of the outcome of that review. That the CSCI are provided with a copy of the most recent servicing record in respect of the 2 tracking and 1 mobile hoists. That the CSCI are provided with a copy of the most recent inspection of portable electrical appliances at the home. That the CSCI are provided with details of the homes proposals to provide fire safety training for staff at the home. Timescale for action 31st of August 2005. 2. 33 18 31st of August 2005. 31st of August 2005. 31st of August 2005. 31st of August 2005. 3. 42 23 4. 42 23 5. 42 23 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 Page 23 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 Good Practice Recommendations 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich Bolton, BL6 6HG 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 7 CRAWFORD STREET F56 F06 S9319 7 Crawford Street V219928 220605 Stage 4.doc Version 1.30 Page 25 - 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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