Inspection on 27/01/06 for 7 Crawford Street

This inspection was carried out on 27th January 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

7 Crawford Street 21/05/07

7 Crawford Street 22/06/05

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 Mencap Homes Foundation 7 Crawford Street Bolton Lancashire BL2 1JG Lead Inspector Mike Murphy Unannounced Inspection 27th January 2006 2005 09:30 7 Crawford Street DS0000009319.V255993.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 7 Crawford Street DS0000009319.V255993.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. 7 Crawford Street DS0000009319.V255993.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 7 Crawford Street Address Mencap Homes Foundation 7 Crawford Street Bolton Lancashire BL2 1JG 01204 398122 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) Royal Mencap (Housing & Support Services) Mr P Rimmer Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 7 Crawford Street DS0000009319.V255993.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd June 2005 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 DS0000009319.V255993.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 the home’s second of two annual inspections for the inspection year 2005 to 2006. The inspection took place over three hours. The inspection included a tour of the premises, inspection of care and other records maintained at the home, and discussion with management and staff. What the service does well: What has improved since the last inspection? What they could do better: The dining room floor covering requires replacing and the kitchen is in need of redecoration. 7 Crawford Street DS0000009319.V255993.R01.S.doc Version 5.0 Page 6 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 DS0000009319.V255993.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 7 Crawford Street DS0000009319.V255993.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): 1,2,3,4,5. The home continues to provide accurate and appropriate 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. 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 DS0000009319.V255993.R01.S.doc Version 5.0 Page 9 7 Crawford Street DS0000009319.V255993.R01.S.doc Version 5.0 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 the following standard(s): 6,7,8,9,10. All guests coming to the home for respite care is able 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 balanced against ensuring the health safety and general well being of guests. Guest’s relatives are consulted at all stages of assessment, and care planning, during the guest’s 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 their family and is related to the guest’s normal routine and daily life in their own home. Personal preferences and individual support guidelines are documented and regularly reviewed. Guests and their relatives sign the care plan. Documentation examined, and observations of practice, support the finding that the rights and choices of guests are respected within a considered risk assessment framework. The maintenance of guest confidentiality is an important part of 7 Crawford Street DS0000009319.V255993.R01.S.doc Version 5.0 Page 11 staff training from induction onwards and care and other personal records are stored appropriately. 7 Crawford Street DS0000009319.V255993.R01.S.doc Version 5.0 Page 12 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): 11,12,13,14,15,16,17. Guests only stay at the home for short periods of time the staff support guests to ensure that their experience during their stay is as consistent as possible with their life with their own families or carers by guests being able to continue to participate in activities – particularly within the community – that they usually partake in at all other times. 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 and enabled to continue to their usual activities. These may include college attendance or participation in therapeutic activities or training. Care plans contain details of guest’s personal preferences in respect of social and leisure activities and individual care records reflect those activities undertaken. 7 Crawford Street DS0000009319.V255993.R01.S.doc Version 5.0 Page 13 Guests are supported in accessing shops, visiting restaurants, pubs, the cinema, etc. Guests are enabled 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 DS0000009319.V255993.R01.S.doc Version 5.0 Page 14 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): 18,19,20. Guests are supported and enabled to access and receive the health and personal care services that ensures their well being is maintained and maximised. EVIDENCE: It was evident 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 DS0000009319.V255993.R01.S.doc Version 5.0 Page 15 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. Appropriate measures have been taken in the home to provide an environment where guests and their supporters feel comfortable with making a complaint if necessary, and to prevent guests becoming victims of abuse. These are important areas that are crucial to the protection of guest’s in a residential setting, many of whom are extremely vulnerable. EVIDENCE: General discussion indicated that there was a general awareness and information provided that enabled people to make a complaint if they desired. A detailed and accessible complaints procedure was in place and prominently displayed, which included details of how complainants could contact the CSCI if desired. Inspection of policies and procedures operated at the home and discussion with staff indicated that staff were aware of the importance of protecting guest’s from potential abuse and how to communicate any concerns they may have in this area. Staff are enabled to attend protection of vulnerable people training. 7 Crawford Street DS0000009319.V255993.R01.S.doc Version 5.0 Page 16 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): 24,25,26,27,28,29,30 The home is a large bungalow style property with ramped access and a number of adaptations designed to meet the needs of people with 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. The property is well maintained and suitable for its purpose. EVIDENCE: The home provides private and communal areas that are appropriate to meet the needs of guests who stay there. Guest’s bedrooms were clean, warm, appropriately decorated and furnished and contained appropriate adaptations and aids to meet individual guest’s particular needs and maximise their safety and independence. Appropriate provision has been made in terms of toilet and bathing/ shower facilities. A bathroom and shower room have been refurbished and redecorated since the last inspection. Bathroom/shower/WC areas all contain suitable aids and adaptations – including hoisting/lifting equipment. Individual guest needs, in relation to disability equipment are met, following assessment by an appropriate health care professional. 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. 7 Crawford Street DS0000009319.V255993.R01.S.doc Version 5.0 Page 17 The inspector was informed that it is proposed to replace the floor covering in the dining room. The kitchen area has been refurbished and the inspector was informed it was to be decorated imminently. 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 DS0000009319.V255993.R01.S.doc Version 5.0 Page 18 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): 31,32,33,34,35,36. Staff provision at the home was meeting the minimum requirements for a care home of this type. Discussion with the manager indicated that a review of staffing arrangements had resulted in an improved service to guest’s. EVIDENCE: Discussion with management and staff and inspection of guests care records indicate that staff were managing to provide appropriate care to guests. 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 from fire safety training - and in specialised interventions where appropriate. Good staff supervision, appraisal and support arrangements are in place. 7 Crawford Street DS0000009319.V255993.R01.S.doc Version 5.0 Page 19 7 Crawford Street DS0000009319.V255993.R01.S.doc Version 5.0 Page 20 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): 37,38,39,40,41,42. 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, has nearly completed the registered Manager’s Award and has achieved the NVQ Assessors 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 7 Crawford Street DS0000009319.V255993.R01.S.doc Version 5.0 Page 21 generally in good order. These included workplace risk assessments, fire precautions, 5 year electrical safety inspection, gas safety and water temperature checks hoisting equipment and the safety of portable electrical appliances. 7 Crawford Street DS0000009319.V255993.R01.S.doc Version 5.0 Page 22 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 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 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 3 3 3 3 3 DS0000009319.V255993.R01.S.doc Version 5.0 Page 23 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 YA28 Regulation 23 Requirement That the CSCI informed in writing that the kitchen has been redecorated and that the dining room floor covering has been replaced Timescale for action 31/03/06 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 7 Crawford Street DS0000009319.V255993.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office 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 DS0000009319.V255993.R01.S.doc Version 5.0 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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