Inspection on 10/11/06 for 96 Bishopton Road

This inspection was carried out on 10th November 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 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

96 Bishopton Road 07/11/08

96 Bishopton Road 16/02/06

96 Bishopton Road 31/10/05

96 Bishopton Road 05/10/04

96 Bishopton Road 09/06/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 96 Bishopton Road Stockton-on-Tees TS18 4PA Lead Inspector Ray Burton Key Unannounced Inspection 10th November 2006 01:00 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 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 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 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. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 96 Bishopton Road Address Stockton-on-Tees TS18 4PA 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) 01642 865051 01642 805051 www.reallifeoptions.org Real Life Options Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of persons shall not at any one time exceed 6 people with learning disabilities One named service user, over the age of 65 to be permitted to reside at the home until it is assessed that his/her needs cannot be met there. 16th February 2006 Date of last inspection Brief Description of the Service: Number 96 Bishopton Road is a large detached house that has been divided into two units, each accommodating three persons. Externally there is a garden containing summerhouse, greenhouse and garden furniture. The home is registered to provide long-term care for 6 adults with a learning disability. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection covering all of the key standards of the National Minimum Standards for Care Homes for Adults. The inspection commenced on 10th November and was completed on 8th December 2006. During the inspection a tour of the building was conducted, records and care plans examined and the inspector spoke to residents, two visitors, members of staff and the manager. 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. The summary of this inspection report can be made available in other formats on request. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 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 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The pre-admission process and assessment procedure ensured prospective residents and their families were given sufficient information about the home and knew that their needs would be met. EVIDENCE: There had not been any admissions to the home for over a year however examination of care plans and associated documents revealed that, prior to admission, a thorough assessment was conducted to determine if the needs of prospective residents could be met at the home. Documents relating to the most recent resident to be admitted showed that, following referral and an initial assessment from the placing authority, the Real Life Options (RLO) Head of Operations had visited the family home and spoken to the parents of the prospective resident in order to establish their son’s support needs and also to give them information about 96 Bishopton Road. Further assessments were conducted involving discussions with the service users parents, paid carer, day centre staff and care manager. Several introductory visits to the home were arranged prior to admission. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 8 Residents files contained an Individual Service Agreement that had been written in a user-friendly manner and contained coloured pictures of the resident, the home, bedroom, communal areas as well as places of local interest to residents such as McDonalds, pubs, shopping centre etc. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were placed at the centre of the care planning process and were supported to make choices and to lead as independent a life as was possible. Care plans were well maintained and up-to-date. EVIDENCE: Observation during the inspection, conversation with the manager and staff and examination of care planning documentation and daily records evidenced that each resident received good personal and individual support. The personal files belonging to three residents were examined, each was well organised and contained a comprehensive, up-to-date and detailed picture of all aspects of the residents life. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 10 Care plans showed how residents were placed at the centre of the care planning process and were involved, at an appropriate level, in the development of their own plan and were supported to make decisions about their own lives; where possible they had indicated their involvement and agreement by their signature. One of the residents said: “I have been drawing a big picture showing things that make me happy and unhappy.” The “picture” was actually a care plan in pictorial form taking up almost a full wall of the resident’s bedroom. Assessments had been carried out and action plans devised to cover all areas of daily living and personal need, including social need. Staff recognised the importance of promoting independence and encouraging residents to make choices whilst ensuring their safety and wellbeing. Each care plan contained comprehensive risk assessments clearly identifying risk and detailing management strategies to eliminate or reduce the risk. Much use had been made of pictures and photographs to make care plans accessible and meaningful to residents. The section entitled “This is My Life” was very user friendly and clearly demonstrated how residents were consulted about all aspects of their lives and helped to make their wishes and needs known. A key worker system was in operation providing additional one to one support for each resident For those residents without speech, alternative means of communication were used: pointing, gesture, signing etc. Regular reviews of care involving the resident, next of kin and appropriate professionals ensured that action was taken to respond to any changes of need. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were supported to make decisions and were presented with opportunities to lead fulfilling lives. They were encouraged to take part in appropriate leisure activities both in-house and in the local community. Staff assisted residents to maintain family and friendship links. EVIDENCE: Conversation with residents and staff and examination of care plans, daily records etc showed staff promoted the right of residents to lead a normal and satisfying life and encouraged and supported them to develop their daily living skills and achieve as much independence as possible. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 12 Opportunity was provided for each resident to take part in a wide range of appropriate leisure activities both inside and outside of the home. Each resident had a daily activity plan detailing the sort of activity in which they wished to take part: TV and videos, aromatherapy, painting, personal shopping, going out for a meal, cinema, bowling, going to the pub etc. It was observed during the inspection that there was a relaxed and friendly atmosphere in the home and that residents appeared at ease with staff. Daily records and conversation with members of staff indicated routines were flexible and promoted independence and individual choice. Each resident, at a level appropriate to their ability and skills and within the framework of individual plans and risk assessments, was encouraged to participate in the day-to-day running of the home: dusting and hoovering, taking responsibility for their own room, making a cup of tea, simple meal preparation, accompanying staff when doing the household shopping. The monthly meeting and informal daily contact with staff provided residents the opportunity to participate in menu planning and to say what sort of food they preferred. Records of food served showed a varied diet was provided with alternatives available should someone not wish to have the dish of the day. Meals were generally at set times although there was a great deal of flexibility to allow for individual preferences and daily activities. A resident told the inspector she liked living at Bishopton Road and that “the staff do their job properly.” She said she liked going into town, particularly when she had a meal at McDonalds. Sometimes she went with Norman (the manager) when he visited the Regional Office. She said she really enjoyed that, especially meeting the people who worked there. Staff encouraged residents to develop and maintain family and friendship links by assisting with telephone calls and the sending of cards for special occasions such as birthdays and Christmas. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Healthcare and personal needs were met by staff who provided support in a sensitive manner in accordance with the wishes of the individual resident. Appropriate healthcare professionals provided advice and additional support. EVIDENCE: Each care plan contained information about the resident’s general health, dietary requirements and details of any specific ailment or medical condition. Residents had access to ordinary community-based health services with healthcare needs being met by their own doctor and other community based professionals. Conversation with staff and examination of care plans revealed an awareness of providing personal support in a sensitive and flexible manner; and of consulting with residents and supporting them to maintain as much independence and control over their own care as possible. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 14 None of the residents had been assessed as being able to control their own medication and all medicines were administered, according to the homes policies and procedures, by staff who had received suitable training in the administration of medicines. Appropriate records were kept and all medicines were stored securely. It is recommended however that the medicine cupboards should be reorganised to enable greater ease of access for staff when administering medication. It is also recommended that a fridge be provided for the storing of medications requiring cool storage; and a more appropriate facility made available for the storing of controlled drugs. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had a suitable complaints procedure and policies and procedures to safeguard residents from abuse. Staff had received training in the protection of vulnerable adults. EVIDENCE: The home had an appropriate complaints procedure stating how complaints could be made, who would deal with them, the timescale for the process and what to do if not satisfied with the way in which the matter had been handled. Each resident had been given a copy of a simplified complaints procedure written in a user friendly manner and containing photographs of people to whom a complaint could be made. Examination of the complaints record revealed the home had not received any complaints since the last inspection. All members of staff had received training in the protection of vulnerable adults and in conversation displayed an awareness of what constituted abuse and knew what procedure to follow should such an incident be brought to their attention. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides comfortable and well maintained accommodation. EVIDENCE: A walk around the home revealed it to be clean and hygienic and free from offensive odours. Furniture was comfortable and domestic in design. All areas of the home, including the kitchens were accessible to residents. Bedrooms were comfortably and appropriately furnished and had been individualised by the inclusion of personal effects such as pictures, TV, CD players etc. All areas of the building were centrally heated and radiators had been covered with suitable guards to ensure a low surface temperature. Water temperatures were controlled to guard against scalding. The numbers and suitability of lavatories and bathing facilities met the National Minimum Standard, although the ground floor bathroom appeared stark and unwelcoming and was in need of upgrading to make it less austere. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 17 All communal areas were comfortably furnished and two lounges had been freshly decorated – one lounge however had an iron burn on the carpet. It is recommended that this carpet be replaced. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35,36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents were protected by a competent staff team and by the homes policies and procedures on recruitment, training and supervision. EVIDENCE: During the inspection it was noted that there were sufficient numbers of staff on duty to meet the needs of residents. Staffing rosters showed satisfactory staffing levels were maintained at all times. The home followed the Real Life Options corporate recruitment policies and procedures that ensured a rigorous selection process was adhered to. Examination of personnel files revealed that all required information was in place. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 19 Training records and conversation with the manager and three members of staff showed the home had a good training policy and that all staff were encouraged to undertake training that would aid their personal development and help them meet residents needs. Recently completed training included: Team Teach, Autism Awareness, Protection of Vulnerable Adults, First Aid, Induction/Foundation Training, Medication, Manual Handling, Fire. The home employs fifteen members of staff, five are qualified to a minimum of NVQ level 2 in Care. Three are due to commence level 2 training and four level 3 training in January 2007. A supervision programme was in place to ensure all staff received formal supervision on at least six occasions a year. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well managed home with a competent staff team. The health, safety and welfare of residents is protected by the homes record keeping and policies and procedures. EVIDENCE: The home had policies and procedures that complied with current legislation and recognised professional standards and covered all aspects of the management of the home. Records were kept to safeguard resident’s rights and best interests and to ensure the safe and effective running of the home; these were up-to-date and stored appropriately. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 21 The manager and staff were aware of their responsibilities under Health & Safety legislation. Policies and procedures were in place to cover the health, safety and welfare of residents and staff. Regular checks of the building and equipment were undertaken, and maintenance and servicing carried out to ensure a safe and comfortable environment. The home had various systems both formal and informal to measure success in meeting its aims, objectives and statement of purpose and to ensure residents rights and best interests were safeguarded: Monthly Service Reports (with Regulation 26 reports sent to CSCI), Service Users Reviews, Staff Meetings, Residents Meetings, Health & Safety Audit, Annual Satisfaction Survey (sent to service users next of kin), Annual Quality Assurance Report, Annual Business Plan. In addition there was regular feedback from residents, relatives and visiting professionals. Two family members who visited the home during the inspection told the inspector they felt there had been an overall improvement in the home during the last six to nine months. They considered it to be well managed and felt the staff were well trained and dedicated to their work. Members of staff displayed good insight into the caring role and of the needs of individual residents. They said they received regular formal supervision. The manager has many years experience of supporting people with learning disabilities and is the holder of: Higher Diploma in the Management of Care Services and The Registered Managers Award. He is currently working toward achieving the NVQ level 4 in Care. 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 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 3 26 3 27 3 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 3 x x 3 x 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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 YA20 Good Practice Recommendations Medication cupboards should be re-organised and a fridge provided for the storing of medication requiring cool storage. More appropriate storage should be provided for controlled drugs. Consideration should be given to upgrading the ground floor bathroom. The burnt lounge carpet should be replaced. 2 3 YA27 YA24 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 96 Bishopton Road DS0000000003.V320056.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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