Inspection on 30/12/05 for 9 Beverley Road North

This inspection was carried out on 30th December 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

9 Beverley Road North 04/08/06

9 Beverley Road North 31/08/05

9 Beverley Road North 08/12/04

9 Beverley Road North 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 9 Beverley Road North 9 Beverley Road North St Annes Lancashire FY8 3EU Lead Inspector Lesley Plant Unannounced Inspection 30 December 2005 1:30 th 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 9 Beverley Road North Address 9 Beverley Road North St Annes Lancashire FY8 3EU 01253 712547 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) www.unitedresponse.org.uk United Response Mr Stephen Turner Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The Service must only accommodate adults with learning difficulties (YA) over the age of 18 (Eighteen) years The Service must only accommodate up to 5 (Five) service users The Service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 31st August 2005 Date of last inspection Brief Description of the Service: 9 Beverley Road North is a small care home for adults with a learning disability, registered for five people. The well-established national charitable organisation United Response is the registered provider. The home is a large detached dorma bungalow providing good access to local services and amenities. The home provides a range of specialist aids and equipment to meet the complex needs of the people currently living at the home. Each bedroom and the bathroom have ceiling tracking and a hoist for lifting purposes and the home also provides a portable hoist e.g. for use on holiday. The organisation provides a vehicle to enable individuals to take part in leisure activities and access amenities. The staff team provide support in all aspects of daily living according to assessed needs and as identified via the care planning process. People are supported and encouraged to develop their independence and take part in all aspects of community living. The service adopts an active support approach, in a stable environment, which enhances opportunities for personal growth and development. The staff team are supported by an experienced management team and an organisation, which clearly values its employees, and the people they support. 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced, started at 1.30 pm and took place over two and a half hours. The four people currently living at the home have specific communication needs and therefore discussion with individuals was limited. The inspector spoke with five members of staff, including the team manager and observed the staff and people living at the home. The registered manager was not on duty at the time of this inspection. Care records were inspected and some of the written policies were viewed. Comment cards were left at the home inviting relatives to provide feedback about the service provided, with three being returned. Key standards not assessed at this inspection will have been addressed at the previous inspection on the 31st August 2005. What the service does well: What has improved since the last inspection? As advised at the last inspection, containers used for taking medication outside the home are now clearly labelled. 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 6 Excellent progress has been made with NVQ training, with six of the nine staff having completed NVQ level 2 or above. The systems and processes for NVQ training have been strengthened. 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. 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were assessed at this inspection. EVIDENCE: 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 Individuals are supported to communicate their wishes and have assistance to make decisions about their lives. EVIDENCE: The people currently living at the home all have complex communication needs and staff work hard to enable individuals to make choices and decisions. Staff confirmed that they undergo communication training. Communication aids are in place and each person has a written communication profile to guide staff in their work. Staff understand the importance of getting to know each individual and were able to describe how each person communicates and is supported to make decisions. An example of this being one person who uses his eyes to communicate and staff described how they give a small number of choices and then wait, allowing time for this person to respond. Prompts are used with another person who has a visual impairment, in that he is helped to feel his toothbrush before staff clean his teeth and helped to touch his plate to indicate a meal time. The people living at the home attend various sensory drama classes, which are greatly enjoyed and enhance communication and expression. Information regarding advocacy services is available and individuals also have family members who will advocate on their behalf as necessary. Certain decisions, 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 10 such as having the flu vaccination are made by the next of kin. Three relatives completed feedback comment cards for the inspection, with all responding that they are kept informed and consulted about the care of their relative. Each person has a written financial log, with details of income and expenditure, which is maintained by staff. 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 16 Appropriate activities, community participation and involvement in daily routines, promote independence, personal development and fulfilment. EVIDENCE: The people currently living at the home have complex needs including specific health needs and are not involved in employment. Staff have developed close links with local colleges, and individuals are supported to access a variety of classes, such as art, animal care and music appreciation. Individuals also enjoy taking part in sensory drama sessions. Staff described how individuals had greatly enjoyed themed, “On the moon/in space” sensory drama sessions held at the home. These valued and fulfilling activities promote learning and personal development. People living at the home are supported to integrate into community life and access local facilities. This includes visiting shops and the cinema and going on local walks. One person at the home has his own car and the home also has a vehicle provided by the organisation. Discussions with staff and the viewing of rotas evidenced that support is provided flexibly and according to individual 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 12 need. On the day of this unannounced inspection there were five members of staff on duty, with three staff on duty during the day and two during the evening. Rotas show that this high level of staff support is maintained, allowing for individual activities to take place. The people living at the home have different and diverse tastes in music and are supported to attend live events and concerts of their preference. United Response adopts an active support approach in care planning and service delivery. Involvement in daily routines is supported and actively promoted at all times. The excellent work in this area means that independence is promoted and individuals are encouraged to exercise maximum control over their lives. Although the people currently living at the home have complex needs staff understand the importance of involving individuals in activities such as meal preparation, cleaning, laundry and other household tasks. A daily schedule chart details duties for each staff member and covers planned outings such as shopping and college attendance, and daily routines such as cooking and medication administration. This means that staff know who is responsible for each task and also ensures that people living at the home are involved in these daily routines. Individual protocols and written guidance direct staff in their work and take into account the preferences of those living at the home. Individuals are offered a front door key and key to their own room, according to their needs and capabilities. Staff support individuals to receive and deal with their mail. The bedrooms provide a pleasant environment where individuals can spend time alone relaxing, should they choose to do so. 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were assessed at this inspection. EVIDENCE: Although none of the above standards were inspected, the following observations were made. The people living at the home require bed rails to maintain their safety whilst in bed and risk assessments are in place. At the start of this inspection individuals were resting on their beds and it was observed that in one bedroom the protective padding covering the bedrail was not in place and this was immediately rectified. This was discussed with the team manager who felt that this was, either an oversight or that the individual had removed it, which he was prone to do. The registered manager is advised to monitor the use of the protective covering and ensure that safe practices are maintained. As advised at the last inspection, containers used for taking medication outside the home are now clearly labelled. 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Policies, procedures, staff training and good practice promote the protection of people living at the home. EVIDENCE: The staff on duty confirmed that they had all attended training regarding abuse and protection. This training is part of the core training programme for all staff. Policies and guidance are read and signed by staff. A new policy regarding self harm has been introduced, this being made available for all staff, with a directive to sign to confirm that it had been read and understood. A member of staff explained that they are vigilant regarding workmen coming into the home and always use the same reputable plumber and firm to test electrical equipment, as was evident on the day of the inspection. Individuals have a safe in their bedroom, where money and private documents such as passports are kept and the contents are regularly checked. United Response is an umbrella organisation regarding Criminal Records Bureau (CRB) clearance and all staff receive clearance at enhanced level. 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 The home is clean and hygienic, with good practices in place to prevent any spread of infection. EVIDENCE: The staff team work hard to maintain a good standard of cleanliness within the home. A cleaner is employed for ten hours each week and the working night staff also carry out certain domestic duties. Domestic duties are well organised, with written guidance of what should be done on a daily basis. The staff spoken to clearly have a good knowledge of infection control. All staff undergo health and safety and food hygiene training, with these areas also being addressed within NVQ training. Protective clothing such as gloves, for when carrying out personal care tasks, are available in each bedroom and in the bathroom. Discussions with staff confirmed their awareness of infection control issues and good practice in this area. 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 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 and 35 Excellent progress has been made with NVQ training. A skilled and competent staff team support the people living at the home. EVIDENCE: Staff have good communication skills as shown in their interaction with people living at the home. A discussion with three members of the team indicates that staff are committed and motivated in their work. The three relatives who completed comment cards for the inspection all responded that they are satisfied with the care provided. Staff show an excellent understanding of the people living at the home and have clearly got to know individuals well. It was noted that when going off duty, staff make a point of saying individual goodbyes to those living at the home. Staff have undertaken specific training in relation to individuals at the home, including training regarding responding to seizures and communication training. Excellent progress has been made with NVQ training, with six of the nine staff having completed NVQ level 2 or above. The staff spoken to confirmed that a good programme of core training is provided, with this being organised from the United Response area office. Records of training are maintained. New staff follow the Learning Disability Award Framework accredited training programme and then register for NVQ training. Each new staff member is allocated an experienced staff member to work alongside and act as mentor during the induction process. 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 17 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 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): 37 and 39 There are formal and informal quality-monitoring systems in place, which take into account the views of relatives. EVIDENCE: The registered manager was not on duty at the home during this inspection. The registered manager has many years experience and is soon to complete the Registered Managers Award. Under the current arrangements the registered manager is responsible for four United Response care homes in St Annes. Although the team manager at Beverley Road carries out much of the day-to-day management duties, it is important that the registered manager maintains a proactive role in the management of the home. The team manager and support staff have built up good relationships and maintain a good level of communication with relatives. Relatives are closely involved in reviews and questionnaires recently sent to relatives provided another opportunity to comment on the service provided. Three relatives completed feedback comment cards for the inspection, with one responding, “Our son has received outstanding care and consideration throughout his time 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 19 in the care of United Response. The facilities at Beverley Road are constantly monitored and improved – super!” Regular staff meetings and supervision meetings help to promote quality and consistency, whilst also allowing staff to air their views. A manager from within the organisation carries out a monthly monitoring visit at the home. 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 4 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 2 X 3 X X X X 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 21 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA37 Good Practice Recommendations The registered manager should achieve qualifications at Level 4 NVQ in both management and care. 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 9 Beverley Road North DS0000009992.V259799.R01.S.doc Version 5.1 Page 23 - 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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