Inspection on 30/12/05 for 92 Black Prince Avenue

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 Excellent. 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

92 Black Prince Avenue 23/11/06

92 Black Prince Avenue 10/08/05

92 Black Prince Avenue 13/02/05

92 Black Prince Avenue 20/04/04

Similar services:

Manor Court

Agnes House

The Manor House

21a Johnson Avenue

Applegarth

Thornham Grove

Hunter`s Lodge

Conifer Lodge

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

CARE HOME ADULTS 18-65 92 Black Prince Avenue Market Deeping Lincolnshire PE6 8LU Lead Inspector Mick Walklin Unannounced Inspection 30th December 2005 09:30 92 Black Prince Avenue DS0000002501.V275095.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 92 Black Prince Avenue DS0000002501.V275095.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. 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 92 Black Prince Avenue Address Market Deeping Lincolnshire PE6 8LU 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) 01778 344215 www.sense.org.uk Sense East Miss Danielle Short Care Home 2 Category(ies) of Sensory impairment (2) registration, with number of places 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th August 2005 Brief Description of the Service: 92 Black Prince Avenue is a four bedroomed end of terrace house with an enclosed rear garden, situated on an estate. Two residents live at the home. At present, one of the bedrooms is used as a staff sleep-in room, and one is used as an office. The home is one of a number in the area managed by SENSE East, who provide specialist homes for life for people with either single or dual sensory impairment who may also have additional learning or physical disabilities. It is located a quarter of a mile away from a local supermarket, and Market Deeping town centre is approximately one mile away. The town centre contains a range of shops, pubs, banks and food outlets. The home is close to the Peterborough to Bourne bus route with regular services, and they also have sole use of a people carrier. 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a period of 6 hours. The main method of inspection used was called case tracking which involved tracking the care that the two residents receive, through the checking of their records, discussion with the care staff and observation of care practices and interactions. A tour of the building took place, and records relating to the running of the home were also examined. What the service does well: What has improved since the last inspection? 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. 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 Page 6 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 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 Page 7 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): No standards were inspected in this section. EVIDENCE: 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 Page 8 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. Care plans give good information to staff to enable them to meet the residents support needs. Residents are well consulted, using communication methods appropriate to them. EVIDENCE: Residents have detailed care plans, which outline their support needs. They contain good assessments of needs, together with communication profiles and behaviour management guidelines. Residents also have daily communication files, which travel with them to day services. These contain daily log sheets, which detail activities and events, and ensure continuity of care. Files also contain risk assessments to ensure that residents can live as independently as possible. Staff demonstrated a thorough knowledge of the needs of residents, and described their role as Social Tutors in supporting residents to develop skills and independence. Reviews are held every six months, and involve relatives and social workers. Both residents use non-verbal communication methods, and there is extensive use of alternative communication methods, such as signing, photographs and objects of reference to ensure that they are fully consulted, and able to 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 Page 9 exercise choice. Staff have a good knowledge of communication methods used by residents. Staff have a clear understanding of their responsibilities in maintaining confidentiality. 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 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): 12, 13, 15, 16 & 17. There are excellent opportunities to participate as part of the local community, with a timetable that help develop independence and social skills. Catering arrangements are of a domestic nature, and are flexible to accommodate individual choice. EVIDENCE: Both residents attend Peterborough Resource Centre (PRC) on weekdays. Their timetables include subjects such as rambling, woodwork, bowling, dance, crafts and numeracy. Sessions have clear aims and objectives, and some are linked to the ASDAN curriculum, which enables residents to study towards an accredited scheme. They also have a home timetable covering shopping and domestic tasks, as well as swimming and Gateway Club. The home has a people carrier to access local facilities, and one member of staff works flexibly to support activities and outings. Recent outings have included seeing the illuminations at Blackpool, and a visit to the Pantomime. Staff encourage residents to be involved in all aspects of the running of the home, according to their abilities. 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 Page 11 Staff confirmed that part of their responsibility as key worker involves facilitating family contact, and both residents have regular contact. Catering arrangements are of a domestic nature. Menus are prepared on a four-week rotation, and are varied, and reflect resident’s choices. Care staff are responsible for shopping and the preparation of meals, with the help of residents. Detailed guidelines for eating and drinking are contained in the care plans, covering posture, equipment, supervision, texture of food and food to be avoided. 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 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): 19 & 20. There are satisfactory arrangements to ensure that resident’s health needs are met, and that medication is administered safely. EVIDENCE: Residents are registered with the local GP surgery, although one refuses to attend medical appointments. Both have regular medication reviews. There are satisfactory arrangements for dental care. Speech and Language Therapy, and Psychiatry input is available as required. There are good records of all medical consultations, and detailed vision and hearing assessments have been conducted by SENSE East staff. Medication is securely stored, with good stocktaking arrangements, and medication administration records are satisfactory. Staff receive medication administration during induction, and the two senior staff have undertaken further certificated training. The manager is currently exploring the possibility of introducing a pre-packed medication administration system, to simplify administration. The home only uses ‘homely remedies’ under the direction of the GP. 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 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): 22 & 23. There are effective procedures in place for dealing with complaints and adult protection issues, ensuring that residents are safe. EVIDENCE: There have been no complaints since the last inspection, and staff were clear on how to deal with complaints, should they receive one. There is a good stepby-step guide in symbols for residents wishing to make a complaint. The home’s ‘Resolving Issues’ guidelines contain contact details for the Commission. Staff are required to complete an annual adult protection questionnaire as part of their appraisal. This is reviewed by the training Manager to ensure that staff demonstrate an adequate knowledge of the procedures. Staff interviewed had a good knowledge of the procedures for reporting suspected abuse, and were clear about the location of policies and procedures, including the Lincolnshire Adult Protection Committee procedures, a copy of which is displayed on the notice board. SENSE East has a Protection Committee, which reviews all reports of adult abuse within the organisation. 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 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 & 30. The home provides a comfortable, well-maintained and domestic environment for residents to live in. EVIDENCE: The home is an end of terrace house, situated on a residential estate, and within easy access of local amenities. It is well decorated and maintained, and suitable for the needs of the residents. Bedrooms are comfortable and personalised to taste. Both residents have settled well in the home, and appear happy with the environment. Social tutors are responsible for organising cleaning and domestic tasks, involving residents at every opportunity. There is a weekly environmental checklist, which ensures that cleaning and health and safety checks are carried out, and residents have timetabled domestic activities. 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 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 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, 35 & 36. Staff are clear about their roles, and well trained and supported. There are sufficient staff to ensure that residents needs are met. EVIDENCE: Staff interviewed were clear of their roles and responsibilities, emphasising the development of resident’s independent living skills and social skills. The home is fully staffed at present, but gender mix can be an issue, with only two male staff on the establishment. The home is staffed on a 1-1 basis, with the manager usually working as supernumerary. Staff confirmed that there are enough staff to meet the needs of the residents, and that the shift pattern ensures continuity of care, with staff working sleep-in shifts, and escorting residents to PRC. Staff described training as “brilliant” and “good”. Sense East holds the Investor in People Award, and mandatory training is well organised with most staff having received the necessary updates. The home is not meeting the standard of 50 of staff being qualified to NVQ level 2, but over half the staff will hold the qualification, or be working towards this by next year. The manager has nearly completed the Registered Manager’s Award. One member of staff praised the support that they have received from the manager whilst undertaking NVQ level 2 because they had found it a struggle. Staff also said that they are very well supported, with formal supervision every six weeks. 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 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 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 & 39. There is excellent management and organisation within the home, leading to good communication and staff morale. Quality monitoring procedures ensure that there is effective consultation about the quality of care provided. EVIDENCE: Staff said that the home is very well managed, with excellent teamwork and morale, and good support within the small staff tea. Staff are confident in airing their views, and feel listened to and valued. One member of staff cited excellent support following an incident. Staff meetings are held monthly, and there is excellent communication within the team. One member of staff said, “You couldn’t wish for better teamwork and morale – this is one of the best places that I have worked”. Sense East has good systems for monitoring the quality of care provided on an annual basis. They use self-assessment questionnaires, staff focus groups and questionnaires for staff, purchasers and parents. 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 Page 17 There are excellent systems in place for ensuring that the environment is safe for residents, and that routine checks are conducted. Documentation is very well organised and thorough. 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 Page 18 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 x 34 x 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 4 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 x 4 x 4 x x x x 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? N/A 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. Refer to Standard Good Practice Recommendations 92 Black Prince Avenue DS0000002501.V275095.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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