Inspection on 16/02/06 for 96 Bishopton Road

This inspection was carried out on 16th February 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 10/11/06

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 Unannounced Inspection 16th February 2006 10:00 96 Bishopton Road DS0000000003.V273401.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 96 Bishopton Road DS0000000003.V273401.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. 96 Bishopton Road DS0000000003.V273401.R01.S.doc Version 5.1 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 Craig Leathley Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 96 Bishopton Road DS0000000003.V273401.R01.S.doc Version 5.1 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. 31st October 2005 Date of last inspection Brief Description of the Service: Number 96 Bishopton Road is a large detached house that has been divided into two flats, 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.V273401.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted on 16th February 2006 and was the second of two inspections required to be carried out annually to comply with the Care Standards Act 2000. It covered only those key standards not assessed at the previous inspection. What the service does well: What has improved since the last inspection? What they could do better: There were no outstanding issues left over from the previous inspection and all of the standards assessed during the two inspections were met. 96 Bishopton Road DS0000000003.V273401.R01.S.doc Version 5.1 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. 96 Bishopton Road DS0000000003.V273401.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 96 Bishopton Road DS0000000003.V273401.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): These standards were assessed during the inspection conducted on 31st October 2005 EVIDENCE: 96 Bishopton Road DS0000000003.V273401.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): 7,9 Residents were encouraged and supported to make decisions about their own lives. EVIDENCE: Since the last inspection there had been an improvement in risk assessments and risk management strategies, which were now more detailed, and comprehensive. Resident’s personal files showed how they were placed at the centre of the care planning process and were involved in the discussions about, and formulating of, care plans. Where possible they had indicated their involvement and agreement to the plan by their signature. Residents were encouraged and supported to make decisions about their own lives however the poor comprehension and communication skills of some of the residents limited their ability to make anything other than very simple choices. Care plans, and conversation with the manager and members of staff, showed how residents were always consulted about issues affecting their lives and were helped to make their needs and wishes known. For those residents without speech, alternative means of communication were used: pointing, gesture, signing etc. 96 Bishopton Road DS0000000003.V273401.R01.S.doc Version 5.1 Page 10 Each resident, according to ability level was offered opportunities and encouraged to be involved in the day-to-day running of the home by participating in simple household tasks. All residents attended the monthly residents meetings and in addition some residents participated in Real Life Options Regional Service Users Forum and the Social Group that was responsible for organising various social events and outings. 96 Bishopton Road DS0000000003.V273401.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): 16,17 Residents were treated with respect. A healthy, balanced and varied diet was provided. EVIDENCE: It was observed during the inspection that staff treated residents with respect and that there was a relaxed and friendly atmosphere in the home. Routines were flexible and allowed residents to exercise personal choice and to maintain control over their own lives, subject to their individual plan. Meals were at set times, however there was flexibility to allow for personal wishes and activities. The record of food served showed a balanced and varied diet was provided. Alternatives were always available should a resident not wish to have the dish of the day. 96 Bishopton Road DS0000000003.V273401.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): 18,19,20 Staff providing support in a sensitive and flexible manner in accordance with the wishes of the individual resident met healthcare and personal needs. Appropriate professionals provided additional support.. EVIDENCE: Conversation with members of staff and examination of care plans indicated awareness of providing personal support in a sensitive and flexible manner, and of consulting with residents and supporting them to maintain as much control over their own healthcare as possible. Constant monitoring of health was undertaken and healthcare needs addressed by residents own doctor and other community based professionals. None of the residents had been assessed as being able to control their own medication. All medicines were stored in a secure facility and administered according to the homes policy and procedures by staff that had all undertaken suitable training. 96 Bishopton Road DS0000000003.V273401.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): These standards were assessed during the inspection conducted on 31st October 2005. EVIDENCE: 96 Bishopton Road DS0000000003.V273401.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): These standards were assessed during the inspection conducted on 31st October 2005. EVIDENCE: 96 Bishopton Road DS0000000003.V273401.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): These standards were assessed during the inspection conducted on 31st October 2005. EVIDENCE: 96 Bishopton Road DS0000000003.V273401.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): 37,38,39,40,42 The home was effectively managed and had policies and procedures in place to safeguard the health, safety and welfare of residents. Quality assurance systems ensured residents views and opinions were taken into account. EVIDENCE: The registered manager has many years experience of working with people with learning disabilities. He is the holder of the D32/33 Assessors Award and is currently undertaking the Registered Managers Award. To meet the National Minimum Standard he must achieve an appropriate qualification in both management and care. Observation during the inspection, examination of care plans and conversation with residents and staff indicated the interaction between residents and staff was good, and that the management approach created an atmosphere where everyone was encouraged to participate in the running of the home. Members of staff were enthusiastic about their work and said they felt their contribution was appreciated and that their opinions and ideas were always listened to and considered. 96 Bishopton Road DS0000000003.V273401.R01.S.doc Version 5.1 Page 17 The home had effective quality assurance and quality monitoring systems to seek the views of residents and to measure how effective the home was in achieving its aims, objectives and statement of purpose. Residents and their families and appropriate professionals were actively involved in the formulating and reviewing of care plans. Residents meetings were a regular feature of the home and minutes showed resident participation. In addition some residents were representatives on the Regional Service Users Forum and the Service Users Quality Group (dealing with quality of staff, food and services provided etc.) Two residents were spoken to during the inspection, both said they were happy living at Bishopton Road, one said: “ I like it here. I like everything.” No relatives visited the home during the inspection, however feedback received in the form of relatives comment cards indicated satisfaction with the service provided. The home had appropriate policies, procedures and records in place covering all aspects of the health, safety and welfare of residents and staff. Care plans contained risk assessments and risk management strategies. Staff records showed appropriate training had been undertaken in health & safety matters including; First Aid, Manual Handling, Fire, Food Hygiene. Regular checks of the building and equipment were conducted and maintenance and servicing carried out to ensure a safe and comfortable environment. A tour of the building on the day of the inspection revealed the home to be clean, hygienic and free from offensive odours. Décor throughout was pleasant, furniture was comfortable and all areas of the building were well maintained. 96 Bishopton Road DS0000000003.V273401.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 x 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x 3 x 3 x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 3 X 3 x 96 Bishopton Road DS0000000003.V273401.R01.S.doc Version 5.1 Page 19 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. Refer to Standard Good Practice Recommendations 96 Bishopton Road DS0000000003.V273401.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 96 Bishopton Road DS0000000003.V273401.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!