Inspection on 05/01/06 for 8 Blunt Street

This inspection was carried out on 5th 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 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

8 Blunt Street 01/10/08

8 Blunt Street 09/10/06

8 Blunt Street 08/08/05

8 Blunt Street 14/02/05

8 Blunt Street 02/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Blunt Street (8) Stanley Common Ilkeston Derbyshire DE7 6FZ Lead Inspector Anthony Barker Unannounced Inspection 09:15 5 January 2006 th Blunt Street (8) DS0000019940.V267332.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 Blunt Street (8) DS0000019940.V267332.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. Blunt Street (8) DS0000019940.V267332.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Blunt Street (8) Address Stanley Common Ilkeston Derbyshire DE7 6FZ (0115) 9323494 (0115) 9323494 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) None United Response Christine Coates Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Blunt Street (8) DS0000019940.V267332.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2005 Brief Description of the Service: 8 Blunt Street is a semi-detached house in a small village development. Service users are provided with adequate accommodation and single rooms. There is a rear garden. The Home offers personal and social care to people with a severe learning disability with associated conditions that include autism and sensory disability. Activities are planned to meet individual needs. Blunt Street (8) DS0000019940.V267332.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The time spent on this inspection was 4.5 hours and was a routine unannounced inspection. The last inspection took place in August 2005 and was an unannounced inspection. The Manager and one member of senior staff were spoken to, records were inspected and there was a tour of the premises. One service user’s records were examined although case tracking was not carried out, on this occasion, and there was no communication with service users. The focus of this inspection was on progress made on the requirements and recommendations made, and those standards not assessed, at the last inspection. What the service does well: What has improved since the last inspection? What they could do better: The statement of purpose must be personalised to the Home and reflect its environmental standards. The contracting arrangements relating to one service user’s accommodation must be obtained and kept at the Home and each service users Individual Charter must be fully completed. 50 of staff must achieve a National Vocational Qualification (NVQ) to level 2 and all staff must be provided with fire training sessions at a frequency of at least twice a year. Blunt Street (8) DS0000019940.V267332.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. Blunt Street (8) DS0000019940.V267332.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 Blunt Street (8) DS0000019940.V267332.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&5 Full information about the Home was not available in order for prospective service users and their families to make an informed choice about where to live. Current service users were also not benefiting from this information. Their individual contracts with United Response were not complete or up to date. EVIDENCE: The Home’s Statement of Purpose had still not been personalised to the Home and this was explained to the Manager. Neither had it been amended to address environmental standards. A written contract between the funding authority and United Response, with regard to one service user, was still not available. The Manager said this would soon be received by the Home. An ‘Individual Charter’, between United Response and each service user, were in place. However, although further work had been done since the last inspection, these had still not been fully completed, or updated. Blunt Street (8) DS0000019940.V267332.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): 6 Service users were benefiting from a care planning system that reflected their changing needs although certain improvements would bring further benefits. EVIDENCE: It was noted that ‘Personal Profiles’ and ‘Pen Pictures’ had been added to each service user’s care plan. The care plan of one service user had particularly few care plan objectives/goals. This was discussed with the Manager and she agreed the value of presenting action plans as a way of guiding staff to meet service users’ needs in a proactive way. Daily and nightly log entries still did not reflect the objectives outlined in review meetings. The Manager said that a new document – Monthly Summary Sheet – would summarise daily logs and be used as a basis for periodic reviews. She added that reviews would be held every six months, even if the ‘external’ review - chaired by Social Services – did not take place. The Manager confirmed that the Home’s ‘Premises Risk Assessments’ now included the hazards associated with floor rugs in bedrooms. Other aspects of standard 9 were not assessed on this occasion. Blunt Street (8) DS0000019940.V267332.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): 11 & 13 Service users were provided with opportunities for developing communication skills and personal relationships. EVIDENCE: A discussion took place with one member of senior staff who showed particular interest in the communication needs of service users. A positive view was taken by this staff member regarding the quality of interaction between staff and service users and the positive impact this has had upon service users’ behaviour as well as job satisfaction and stress levels for staff. Staff training in the use of Makaton sign language was identified by this staff member as a personal need with the aim being to encourage service users to use Makaton more. The Manager later said that another staff member would soon be attending a Makaton workshop and, following feed-back to the staff team, other staff would be put forward for this training. She also spoke about plans to change the labels on one service user’s bedroom furniture to a ‘widget’ form of symbols to enable him to more fully understand their meaning. One service user was at college on the day of this inspection. Other aspects of standard 12 were not assessed on this occasion. Blunt Street (8) DS0000019940.V267332.R01.S.doc Version 5.0 Page 11 The senior staff member spoke of one of the challenges faced by staff being to provide more community-oriented activities for service users. An example of a recent success in this matter has been the three service users’ introduction to a local leisure centre’s swimming pool where they have been swimming weekly, in a public evening session, since December 2005. The Manager, later, commented that the staff team were eager to introduce service users to more community-based activities. She spoke of a new United Response day service in Ilkeston which will be used for day service provision, monthly discos and training workshops. On the morning of this inspection one service user had been out, with a staff member, bowling and planned to take a short walk in the afternoon followed by attendance at the Derby Mencap Centre in the evening. In the Home’s lounge there was a computer that was used by one service user to play games and provide keyboard experience. The Manager said this service user was able to recognise the first letter of a number of words and some names. Other aspects of standard 14 were not assessed on this occasion. Daily menus were displayed in the kitchen – these were seasonally adjusted the Manager confirmed. Other aspects of standard 17 were not assessed on this occasion. Blunt Street (8) DS0000019940.V267332.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): Service users’ ongoing health and well-being were being handled professionally and sensitively. EVIDENCE: There was evidence of service users’ health and medication being monitored and appropriate use being made of community health resources. All three service users had attended the Well Man Clinic at the local heath centre. The Manager was proposing to start recording all health contacts on one document for ease of monitoring. Other aspects of standard 19 were not assessed on this occasion. Service users’ files contained a comprehensive document – ‘On Event of Death’ – setting out a range of wishes concerning arrangements upon their death. Other aspects of standard 21 were not assessed on this occasion. Blunt Street (8) DS0000019940.V267332.R01.S.doc Version 5.0 Page 13 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): Service users were likely to benefit from the Home’s complaints procedure but not all efforts had been made to explain its operation to them. Service users were being protected from abuse and self-harm. EVIDENCE: The Home’s complaints procedure was still not in an appropriate format for services users to read or be guided through. The Manager spoke of providing a complaints procedure in ‘widget’ form. Other aspects of standard 22 were not assessed on this occasion. At the last inspection it was noted that body maps were recorded whenever marks were noticed on service users but one seen was dated but not signed. The Manager said this matter had been raised at a team meeting and at supervision sessions. Other aspects of standard 23 were not assessed on this occasion. Blunt Street (8) DS0000019940.V267332.R01.S.doc Version 5.0 Page 14 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 Service users were living in a comfortable, and increasingly homely, environment. EVIDENCE: Efforts had been made to make the Home’s environment look more homely. The Manager explained that service users’ behaviour had improved and this has meant that pictures could now be displayed on the walls of the lounge and dining room. However, the walls of two bedrooms still looked somewhat bare although in one of these rooms a new chest of drawers and a shoe rack had been provided since the last inspection. Also, there were plans to re-decorate this room in February 2006 and to provide wall pictures. The bathroom walls were also somewhat bare, there was no curtain or blind on the window or shade over the ceiling light bulb. The Manager accepted there was no longer any reason for this in terms of service user behaviour. Toilet paper and a towel had been provided in the staff toilet, since the last inspection. The Manager said that there was ongoing consideration for one service user to hold a key to his own bedroom door lock and to a lockable space in his bedroom. Other aspects of standard 26 were not assessed on this occasion. Blunt Street (8) DS0000019940.V267332.R01.S.doc Version 5.0 Page 15 Blunt Street (8) DS0000019940.V267332.R01.S.doc Version 5.0 Page 16 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, 34, 35 & 36 Service users were not benefiting from the support of a qualified staff group. They were, however, benefiting from a well-supervised staff group. They were also being protected by the Home’s recruitment policy and practices. The safety of service users was being somewhat compromised by an inadequate frequency of fire training for staff. EVIDENCE: The Manager spoke of the Home’s staff team having a good level of morale now. She said that a team building approach has achieved this and was continuing. Other aspects of standard 31 were not assessed on this occasion. None of the staff had achieved a National Vocational Qualification (NVQ) to level 2. The Manager said that two staff member were currently undertaking NVQ training and four were due to start soon. One staff member’s file was examined and was found to contain all elements, required by current Regulations, regarding recruitment practices. Staff files showed evidence of induction training to Learning Disability Award Framework (LDAF) standards. All staff had attended fire training within the past 12 months. The Manager said matters were in hand to ensure staff receive fire training every six months. She added that staff were eager to undertake training. A ‘training matrix’ staff group record from September Blunt Street (8) DS0000019940.V267332.R01.S.doc Version 5.0 Page 17 2005 was seen and confirmed that other aspects of staff training were to a good standard. A senior member of staff confirmed that staff supervision was taking place within the Home between six and twelve times a year. The Manager later said that she and senior staff in the Home will be receiving staff supervision training soon. She added that annual staff appraisals were not yet taking place. She said this would commence when regular staff supervision is fully in place within the three homes that she manages. Blunt Street (8) DS0000019940.V267332.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): 38 & 42 Service users were benefiting from the ethos, leadership and management approach of the Home. Their health, safety and welfare were being protected. EVIDENCE: The senior member of staff spoken to considered that the Home was being well managed. There was evidence that the Manager encourages and rewards innovation and development within the staff team. Ongoing improvements in service users’ behaviour provided further evidence of a positive management approach within the Home. The Home’s annual plan was examined. There were no target dates and few detailed objectives. Other aspects of standard 39 were not assessed on this occasion. Cleaning materials were being safely stored in a locked cupboard in the locked laundry. Product data sheets, required by the Control Of Substances Hazardous to Health (COSHH) Regulations were kept in the nearby office. No health and safety problems were found at this inspection. Blunt Street (8) DS0000019940.V267332.R01.S.doc Version 5.0 Page 19 Blunt Street (8) DS0000019940.V267332.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 X X X 2 Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 3 12 X 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 X 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Blunt Street (8) Score X X X X Standard No 37 38 39 40 41 42 43 Score X 3 X X X 3 X DS0000019940.V267332.R01.S.doc Version 5.0 Page 21 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 YA1 Regulation 4 Requirement The registered person must amend the statement of purpose to reflect the recently revised environmental standards (a copy of which must be retained at the home at all times).(Previous timescale was 29/2/04). The registered person must make available a Statement of Purpose that is personalised to 8 Blunt Street.(Previous timescale was 01/12/05). Details of contracting arrangements relating to the service users accommodation, including the arrangements with the purchasing authority, must be kept at the home on individual files or in the service users own room within a copy of the service users guide, and be available for inspection.(Previous timescale was 30/9/04). The registered person must ensure that service users Individual Charter is fully completed.(Previous timescale was 01/12/05). 50 of staff must achieve a National Vocational Qualification DS0000019940.V267332.R01.S.doc Timescale for action 01/04/06 2. YA1 4 & Sch 1 01/04/06 3. YA5 5(3) 01/03/06 4. YA5 5 01/04/06 5. YA32 18(1)(a) 01/07/06 Blunt Street (8) Version 5.0 Page 22 (NVQ) to level 2. 6. YA35 23(4)(d) The registered person must provide all those staff who work both day and night shifts with fire training sessions at a frequency of at least twice a year.(Previous timescale was 01/12/05) 01/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA6 YA6 Good Practice Recommendations Service users’ care plans should contain a clear set of objectives/goals that set out the action which needs to be taken by support staff. Log entries should reflect the objectives outlined in review meeting minutes and be an ongoing source of information for reviews. (This recommendation was from an inspection dated 08/08/05) Consideration should be given to the display of some core policies and procedures in a form more understandable to service users and that is domestically acceptable. (This recommendation was from an inspection dated 08/08/05) Improvements to bedrooms and to the bathroom should be considered as detailed in this report. The registered person should carry out annual appraisals for all staff. (This recommendation was from an inspection dated 02/06/04) The Home’s annual plan should include target dates and more detailed objectives under the stated aims. 3. YA22 4. 5. 6. YA24 YA36 YA39 Blunt Street (8) DS0000019940.V267332.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Blunt Street (8) DS0000019940.V267332.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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