Inspection on 31/10/05 for 96 Bishopton Road

This inspection was carried out on 31st October 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

96 Bishopton Road 07/11/08

96 Bishopton Road 10/11/06

96 Bishopton Road 16/02/06

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 31st October 2005 10:00 96 Bishopton Road DS0000000003.V251626.R01.S.doc Version 5.0 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.V251626.R01.S.doc Version 5.0 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.V251626.R01.S.doc Version 5.0 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 Real Life Options Craig Leathley Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 96 Bishopton Road DS0000000003.V251626.R01.S.doc Version 5.0 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. 5th October 2004 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.V251626.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection commenced on 31/10/05 and was concluded on 18/11/05. It was carried out as one of two statutory annual inspections required by the Care Standards Act 2000. A tour of the building was conducted. Care plans, personnel files, staffing rosters and daily records examined. The manager and two members of staff were interviewed and conversation held with one resident. What the service does well: What has improved since the last inspection? What they could do better: The manager must ensure that all areas of individual risks are assessed and that appropriate risk management strategies are developed. 96 Bishopton Road DS0000000003.V251626.R01.S.doc Version 5.0 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.V251626.R01.S.doc Version 5.0 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.V251626.R01.S.doc Version 5.0 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): 1,2,3,4 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: Conversation with the manager and examination of care plans and associated documents revealed that, prior to admission, a thorough assessment was conducted to determine if the home could meet the needs of the prospective resident. Documents relating to the latest resident to be admitted to the home showed that, following referral and an initial assessment from the placing authority, the Real Life Options Head of Operations had visited the family home and spoken to the parents of the prospective resident in order to establish their perception of their sons support needs and also to give them information about 96 Bishopton Road. Further assessments were conducted by RLO’s Divisional Manager and the manager from Bishopton Road, these involved discussions with the prospective residents parents, paid carer, day centre staff and care manager. Several introductory visits to the home were arranged prior to admission. 96 Bishopton Road DS0000000003.V251626.R01.S.doc Version 5.0 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): 6,9 Residents were encouraged to lead an independent lifestyle. The homes care planning process ensured that residents needs were identified and met. EVIDENCE: Three care plans were examined, each was well organised and provided a comprehensive and up to date picture of the resident and his/her needs and aspirations. The files contained detailed information about all aspects of the residents life: likes/dislikes, mobility, communication, personal care, feeding etc. Not all of the residents were able to use speech as a means of communication, however care plans showed how alternative non-verbal strategies such as gesture, body language and signing were employed by residents to make their needs known. Continuous monitoring and reassessment ensured changing needs were identified and met. Risk assessments and risk management strategies were in place, however in some cases there was need for further development to assess “sub-risks” emanating from the primary risk area. 96 Bishopton Road DS0000000003.V251626.R01.S.doc Version 5.0 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): 11,12,13,14,15 Residents were presented with opportunities to lead fulfilling lives and were encouraged to take part in appropriate leisure activities in the local community. Staff encouraged and assisted residents to maintain family and friendship links. EVIDENCE: Daily records and conversation with members of staff indicated routines within the home were flexible and promoted independence and individual choice and encouraged residents to participate in the day-to-day running of the home. Each resident had a daily activity programme designed to encourage a stimulating and fulfilling lifestyle that would meet his/her needs and wishes, encourage choices and optimise independence within the framework of individual plans and risk assessments. Examples of activities undertaken by residents included: drawing, board games, TV and video, light & sound, gardening, swimming, going for walks, visits to pub, cinema, trips out in the house car. A resident said “I feel happy at Bishopton Road, I do lovely things, shopping and going out for tea. I enjoy listening to my radio and having a coffee.” She said she enjoyed helping staff with the housework especially hovering. 96 Bishopton Road DS0000000003.V251626.R01.S.doc Version 5.0 Page 11 It was apparent that there existed a good rapport between the resident and members of staff with a great deal of good natured banter taking place. A member of staff spoke of the importance of residents maintaining contact with their families and friends and said that they were assisted with the making and receiving of telephone calls and the sending of cards for special occasions such as Christmas and birthdays. Relatives and friends were invited to special events in the home e.g. parties, barbeque. 96 Bishopton Road DS0000000003.V251626.R01.S.doc Version 5.0 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): These standards were not assessed on this occasion. EVIDENCE: 96 Bishopton Road DS0000000003.V251626.R01.S.doc Version 5.0 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 The home had a satisfactory complaints system, and policies and procedures to protect residents from abuse and safeguard their legal rights. 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 was handled. Policies and procedures were in place to ensure the safety and protection of residents and to respond to any allegation or suspicion of abuse. A copy of the “No Secrets” adult protection procedure was available to staff, who had all received training in abuse awareness as part of their induction and foundation training. 96 Bishopton Road DS0000000003.V251626.R01.S.doc Version 5.0 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): 96 Bishopton Road provides comfortable, homely and safe accommodation and meets the needs of the people living there. EVIDENCE: A walk round the home on the first day of the inspection revealed the home to be clean and hygienic and that in general the internal and external fabric of the home was well maintained and furniture comfortable and domestic in design. All areas of the building including the kitchens were accessible to residents, subject to individual risk assessments. Bedrooms were comfortably and appropriately furnished and had been individualised by the inclusion of personal effects such as pictures, photographs etc. The recent challenging behaviour exhibited by a resident had, however, resulted in damage to the first floor flat: holes in three internal fire doors, automatic door closer on the lounge door had been damaged. These were the subject of an Immediate Requirement Notice, as was the modification of a window restrictor in a 1st floor bedroom. Other deficiencies in the building were: Damaged radiator cover and 2 lampshades missing in the first floor lounge, the floor covering in a 1st floor w.c. was stained and in need of being replaced. On the ground floor 2 radiator covers were damaged and the floor covering in a w.c. was stained and in need of being replaced. 96 Bishopton Road DS0000000003.V251626.R01.S.doc Version 5.0 Page 15 When the inspector re-visited the home to complete the inspection, it was noted that the provider had addressed all identified environmental issues. All areas of the home were centrally heated and radiators had been covered with suitable guards to ensure a low surface temperature. Hot water outlets accessible to residents had been fitted with pre-set valves to provide safe water temperatures. Lighting was domestic in nature and emergency lighting had been installed throughout the home. 96 Bishopton Road DS0000000003.V251626.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 Residents are protected by the homes policies and procedures on recruitment, training and supervision. EVIDENCE: The home followed the Real Life Options corporate recruitment policies and procedures that ensured a rigorous selection process was adhered to. Examination of three personnel files revealed the information required by Schedules 2 and 4 of the Care Homes Regulations 2001 were in place. Training records and conversation with two members of staff revealed that all new staff underwent appropriate induction and foundation training. All members of staff were encouraged to undertake training courses that would aid their personal development and help them meet the needs of residents. Recently completed courses included: Autism; Professional Development; Breakaway and de-escalating techniques. All members of staff received at least six formal supervisions each year. It was of some concern to learn that, because of long-term sickness and resignations, the home had been operating for some time well below its staffing establishment. Shift shortfalls had been covered by permanent staff working overtime and by agency workers. Since the first day of the inspection, however, the provider had produced evidence of staffing returning to an acceptable level. This had been achieved by two members of staff returning to work following long-term sick leave and transfer of staff from another service. 96 Bishopton Road DS0000000003.V251626.R01.S.doc Version 5.0 Page 17 In addition the home had recruited several new members of staff. It is acknowledged that the staffing situation now appears to have been resolved. 96 Bishopton Road DS0000000003.V251626.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 40 The home had appropriate policies and procedures. EVIDENCE: All policies and procedures required to meet the National Minimum Standard were in place, regularly monitored and updated to reflect current legislation and good practice. Members of staff were able to access them at all times. 96 Bishopton Road DS0000000003.V251626.R01.S.doc Version 5.0 Page 19 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 3 3 x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 2 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x x 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 96 Bishopton Road Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x 3 x x X DS0000000003.V251626.R01.S.doc Version 5.0 Page 20 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. 1 Standard 9 Regulation 13(4) Requirement Risk assessments must be developed to include all areas of risk. Timescale for action Immediate 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.V251626.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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.V251626.R01.S.doc Version 5.0 Page 22 - 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. 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