Inspection on 31/08/05 for 9 Beverley Road North

This inspection was carried out on 31st August 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 30/12/05

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 31 August 2005 1.30 pm 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. 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 9 Beverley Road North Address 9 Beverley Road North, St Annes, Lancashire, FY8 3EU 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) 01253 712547 United Response Mr Stephen Turner Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Service must only accommodate adults with learning difficulties (YA) over the age of 18 (Eighteen) years. 2. The Service must only accommodate up to 5 (Five) service users. 3. The Service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 8.12.04 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 the personal growth and development of service users. The staff team are supported by an experienced management team and an organisation, which clearly values its employees, and the service users they support. 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 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 four and a half hours. The inspector spoke with four members of staff, including the team manager and spent time with the four people living at the home. The people living at the home have complex physical, mobility and communication needs and therefore discussion was limited. A staff meeting was observed and the registered manager was present for part of the inspection. Care records and some of the written policies were viewed. The inspector observed people being assisted with their tea and medication being administered. A tour of the building also took place. What the service does well: What has improved since the last inspection? What they could do better: Although progress is being made with NVQ training, the situation needs close monitoring to ensure that targets are met. Containers used for taking medication outside the home should be clearly labelled, as staff should not be dispensing medication into unmarked containers. 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 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. 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 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 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 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 and 2 Good information about the home is available, which will help people to make decisions about where they live. Thorough assessments ensure that needs can be met. EVIDENCE: The Statement of Purpose and Service User Guide have been reviewed, updated and improved. These provide clear information and include photographs and pictures. The Team Manager confirmed that copies had been given to an individual, looking for a placement for her daughter, who had recently visited Beverley Road. Although there have been no recent admissions to the home there are good systems in place for gathering assessment information. Files show that good pre admission information had been gathered for the people currently living at the home. This includes details of personal care, medical information, health issues, financial status, likes and dislikes and communication needs. A Social Services assessment also takes place. 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 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 standard(s) 6 and 9 Care plans and risk assessments are in place. The regular reviews ensure that changing needs are responded to. EVIDENCE: Files show good evidence of regular reviews of care plans. These take place at least six monthly and for one individual a review is held every two months. Relatives are closely involved in this process. Staff showed a clear understanding of goals identified and were observed following the guidelines for each individual. Risk assessments are regularly reviewed. Records showed that all risk assessments for one individual had been reviewed in April in preparation for his full care plan review in May. New risk assessments are discussed at staff meetings, as took place during the inspection. Risk assessments cover many aspects of care, including the safe keeping of money, medication, seizures and risks associated with hot weather. Staff were observed following agreed guidance for each individual, for example when administering medication. 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 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 standard(s) 15 and 17 Relationships are supported and good family links are maintained. Meals are healthy and nutritious and take into account individual preferences. EVIDENCE: Files contain details of family contacts and a list of friends and relatives birthdays. Records are kept of all family contacts including phone calls. Individual agreements are in place regarding contact and information sharing with families. Staff have a good understanding of the importance of family relationships, for example regular phone calls are made on behalf of one person at the home and people have photographs of family members which they are supported to look at. During tea time, staff helped people in a sensitive manner, for example making sure that people were helped to clean their face after eating. Records show details of food likes and dislikes, help needed and seating arrangements. A four weekly menu forms the basis for the meals provided, but staff explained that this is flexible. The staff spoken to showed a good knowledge of individual preferences, for example one person who does not like sandwiches is given an alternative meal. 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 Page 11 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 and 20 Personal care and healthcare needs are met and take into account individual preferences. Medication is administered and stored appropriately. EVIDENCE: Files show good information about the personal and health care needs of the people at the home. The individual protocols for personal care encourage independence and ensure that people are able to have their preferences met. One person has detailed guidance relating to teeth cleaning and hair brushing, which one of the staff on duty explained and confirmed good progress is being made. Progress reports from the dentist also confirm that staff are following this guidance. The staff spoken to had an excellent understanding of these individual plans, showing that they are put into practice on a daily basis. Staff were also observed following the individual protocols when assisting with eating and administering medication. Good records are kept of all health care appointments and contact with other professionals, such as district nurses. Staff also record health changes, seizures and other information, which means that good monitoring is in place. The administration of medication was observed. Two staff carry out this task and follow the individual guidance for each person. For example one person has a biscuit after his tablets. Medication is kept in a locked trolley in a locked cupboard. The administration records were clear and accurate. Although 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 Page 12 medication procedures are generally good, containers used for taking medication outside the home should be clearly labelled, as staff should not be dispensing medication into unmarked containers. 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 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 standard(s) 22 There is a clear complaints procedure in place and staff understand the importance of listening to the views of relatives. EVIDENCE: There have been no complaints since the last inspection. The team manager and registered manager are aware that records of any complaints must be kept. The complaints procedure clearly outlines the process for raising concerns and although pictures and symbols are used to aid the understanding of the people living at the home, it would normally be relatives who would advocate on behalf of individuals. The staff team work closely with relatives and respond to any suggestions made, an example of this being in the development of management strategies for an individual with epilepsy. This close working means that any issues raised can be resolved before problems develop. Contact details of advocacy services are also available. 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 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 standard(s) 24 The home is comfortable and well maintained, providing an attractive and homely environment for those living there. EVIDENCE: The main living area consists of a large open plan kitchen, dining and living room. The kitchen has recently been refurbished, with a raised worktop more suitable for the people living there. The open plan design allows individuals to get involved in or watch meal preparation and encourages participation in household activities. Bedrooms have ceiling tracking and hoists and are decorated according to individual taste. People at the home spend time together in the main lounge, but also enjoy time in their bedrooms, for example listening to music. People appeared comfortable, relaxed and happy in their surroundings. Staff carry out regular health and safety checks within the home. 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 Page 15 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) 32, 33 and 34 An effective and competent staff team support the people living at the home and progress is being made with NVQ training. The thorough recruitment process, with appropriate checks, means that only suitable staff are employed. EVIDENCE: At present the staff team consists of the registered manager, the team manager, ten support workers and a domestic worker. Staff demonstrate good communication skills and have clearly built up good relationships with the people living at the home. The staff spoken to stated that good training is provided and that regular meetings, such as the one held that day, take place. Minutes of these meetings are also kept. Staff work well together, with everyone being aware of their responsibilities and who is doing what. A handover sheet and shift plan show who is doing which task, such as administering medication, making tea or supporting people with activities. This system works well, provides continuity and ensures that staff are working effectively. Four staff have gained NVQ level 2 or 3 and four more are working towards these awards. Rotas show that there is always a minimum of three staff on duty during the day, with a night worker and a staff member on sleep in duty each night. The file for the newest staff member contained all the correct recruitment documents, such as references and criminal records bureau clearance. 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 Page 16 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) 42 The health and safety of people living at the home is promoted. EVIDENCE: United Response has good systems in place, which promote health and safety. There is a schedule of daily, weekly, monthly and quarterly, health and safety monitoring. Two of the staff on duty confirmed their individual responsibilities for aspects of these checks, these being the water temperatures and the vehicle checks. Reminders for these checks are put in the diary and on the daily handover sheet, and then a record of each check is kept. Checks include fridge/freezer temperatures, water temperatures, fire alarm system, medication checks, vehicle checks, checks of first aid supplies and a very useful monthly hazard inspection of the home. Water temperatures are thermostatically regulated to ensure that water is delivered at a safe temperature. Staff confirmed that training covers medication, food hygiene, health and safety and first aid. 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 Page 17 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 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x x x x 3 x 3 Standard No 31 32 33 34 35 36 Score x 1 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 9 Beverley Road North Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 Page 18 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 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. 2. Refer to Standard 20 32 Good Practice Recommendations Containers used for taking medication outside the home should be clearly labelled. The registered manager should monitor progress with NVQ training, to ensure that targets are met. 9 Beverley Road North F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit 1, Tustin Court Portway 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 F57 F09 S9992 Beverley Road V216203 310805 Stage 4.doc Version 1.40 Page 20 - 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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