Inspection on 01/02/06 for 98 to 100 Gloucester Avenue

This inspection was carried out on 1st February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

98 to 100 Gloucester Avenue 15/02/07

98 to 100 Gloucester Avenue 01/07/05

98 to 100 Gloucester Avenue 07/10/04

98 to 100 Gloucester Avenue 28/04/04

98 to 100 Gloucester Avenue 18/02/03

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 98/100 Gloucester Avenue Hyndburn Respite Facility 98/100 Gloucester Avenue Accrington Lancashire BB5 4BG Lead Inspector Mrs Lynn Mitton Unannounced Inspection 01 February 2006 09:30 st 98/100 Gloucester Avenue DS0000040870.V256244.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 98/100 Gloucester Avenue DS0000040870.V256244.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. 98/100 Gloucester Avenue DS0000040870.V256244.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 98/100 Gloucester Avenue Address Hyndburn Respite Facility 98/100 Gloucester Avenue Accrington Lancashire BB5 4BG 01772 563002 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) Lancashire County Council Mrs Rebecca Toman Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 98/100 Gloucester Avenue DS0000040870.V256244.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Rebecca Toman is registered as manager of Gloucester Avenue (respite facility) only The service should at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission 1st July 2005 Date of last inspection Brief Description of the Service: Gloucester Avenue provides personal and social care for up to 5 adults with a learning disability and additional support needs aged over 18 years. This facility offers respite/short term care only. The establishment belongs to Lancashire County Council. The home is two semi-detached houses, located approximately one mile from the centre of Accrington. The home offers single bedrooms, and has a large lounge/dining room. Two of the bedrooms and one bathroom are on the ground floor for service users with mobility difficulties. The home is maintained to a good standard throughout. The care staff team aim to offer a homely environment. Service users are either private or Local Authority funded. 98/100 Gloucester Avenue DS0000040870.V256244.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and lasted approximately 3 hours. There were 2 service users accommodated at this time, however, neither were available to speak to the inspector. A tour of the home took place. Over the course of the inspection one care staff and the registered manager were spoken to. Throughout the report there are various references to the “tracking process”, this is a method whereby the inspector focuses on a small representative group of service users. Records pertaining to these people were inspected. Policies and practices were also read. 2 service users relatives had completed the Commission’s comment card, and 1 service user had completed the service users survey. These indicated that they were very pleased with the level of service received at Gloucester Avenue. What the service does well: What has improved since the last inspection? The written information available provided a clear picture of the homes facilities and services. A recently reviewed policies and practices document for managing and administering medication demonstrated that the administration of medication in short break services was in good order. 98/100 Gloucester Avenue DS0000040870.V256244.R01.S.doc Version 5.1 Page 6 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. 98/100 Gloucester Avenue DS0000040870.V256244.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 98/100 Gloucester Avenue DS0000040870.V256244.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): YA1 Written information provided in the statement of purpose and service user guide provided a clear picture of the homes facilities and services, enabling prospective service users to decide if the home was right for them. EVIDENCE: The statement of purpose and service user guide had been updated since the last inspection. These documents now contained the information needed for a prospective service user to understand how the home was run and what facilities were offered. The service user guide had also been completed in Urdu. 98/100 Gloucester Avenue DS0000040870.V256244.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): YA6 & YA7 The care needs of service users were identified and documented. Service users individual needs were know by staff. The risk assessment and management framework supported service users to take responsible risks. EVIDENCE: One care plan was examined in detail during the inspection. It gave a good account of that persons specific needs and how the care staff team should meet these. Daily records seen gave a good account of events and activities undertaken during each day. Whenever possible, service users were given information and options to help them make positive decisions about their own lives. Documentation in the care plan demonstrated that service users right to make decisions about day to day living is positively promoted at Gloucester Avenue. Risk assessments were an integral element of the service users care plan and a number had been completed. The care plan and risk assessments had been recently reviewed. 98/100 Gloucester Avenue DS0000040870.V256244.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): YA12, YA13 & YA16 The home was run to make sure the service users enjoyed their life and had opportunities to fulfil their potential. Service users had regular access to their local community, and were cared for in a way that promoted choice, dignity respect and fulfilment. EVIDENCE: Each service user had an individual activity programme, which included community-based activities. The service user case tracked continued to attend a local day service whilst staying at Gloucester Avenue. Dependent on each service users needs, service users staying at Gloucester Avenue use local community facilities, for example, pubs, cinema, bowling, sports centre, baths, cafes restaurants and shops. These facilities were accessed during the day at evenings, weekdays and weekends. The inspector was satisfied that privacy, rights and respect were core values held at Gloucester Avenue. Any restrictions of their rights imposed on service users were recorded in the care plan, by means of risk assessment, and only 98/100 Gloucester Avenue DS0000040870.V256244.R01.S.doc Version 5.1 Page 11 after discussion and agreement in a multi-disciplinary meeting. This demonstrated that such restrictions were only imposed for service users protection and safety. Each service user had their own bedroom and can choose to spend time on their own in their room if they wish to. Service users were encouraged to maintain their independent living skills whilst at Gloucester Avenue. 98/100 Gloucester Avenue DS0000040870.V256244.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): YA20 Good practice was in place with regards to the administration, safekeeping, storage and disposal of service user’s medication. EVIDENCE: A recently reviewed policies and practices document for managing and administering medication was in place. This had been developed especially for the administration of medication in short break services, and makes concise reference to service users being admitted with medication being clearly labelled. 98/100 Gloucester Avenue DS0000040870.V256244.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): EVIDENCE: Both these standards had been previously examined and met at the last inspection. There had been no complaints to the Commission since the previous inspection. Appropriate records were seen of any complaints made to the home. 98/100 Gloucester Avenue DS0000040870.V256244.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): EVIDENCE: Both these standards had been previously examined and met at the last inspection. The inspector noted that since the last inspection, a new treatment bed was in place and two fire doors on the ground floor had been fitted with magnetic devices in order to promote access for all service users. The garage was in the process of being converted to additional storage space for equipment. A tour of the home showed that home was clean, tidy and odour free. 98/100 Gloucester Avenue DS0000040870.V256244.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): YA32 & YA34 Staff should continue to complete their NVQ training to enable them to better meet the needs of service users. Some staff recruitment records, which showed that service users were kept safe, were not in place. EVIDENCE: The inspector was advised that 3 care staff were undertaking NVQ 3 training, 2 having almost completed their training. The other two staff members were due to begin their NVQ3 training in 2006. A staff training matrix was seen. The inspector was satisfied that service users were cared for by a well established team who were experienced in meeting the needs of the people staying at Gloucester Avenue. Outstanding from the previous inspection the inspector was advised that CRB records were still not available at the home. 98/100 Gloucester Avenue DS0000040870.V256244.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): YA37, YA40 & YA42 An experienced manager ran the home; completion of training would further demonstrate that the attitude of the staff and management was to run the home with the needs and safety of the service users as the highest priority. Further staff training as identified would ensure the health safety and welfare of service users and staff are safeguarded. EVIDENCE: As reported at the last inspection, the registered manager was undertaking NVQ 4 training in Care and Management. The inspector advised that completion of this was a high priority in accordance with conditions of registration with the Commission. The inspector noted that policies and practices documents were being reviewed by LCC and by the registered manager. Some policies were being developed and implemented at local level. 98/100 Gloucester Avenue DS0000040870.V256244.R01.S.doc Version 5.1 Page 17 From the last inspection report, some staff training was still outstanding with regards to ensuring the complete health, safety and welfare of service users and staff, for example in 1st Aid, administration of medication and food hygiene. All care staff had completed moving and handling training. 98/100 Gloucester Avenue DS0000040870.V256244.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 3 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 2 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 2 X X 3 X 2 X 98/100 Gloucester Avenue DS0000040870.V256244.R01.S.doc Version 5.1 Page 19 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA32 Regulation 12, 18 1(a&c) &19 Sch 2 & 4 Requirement Persons working in the care home must receive training appropriate to the work they perform. Documentary evidence as described in Schedules 2 & 4 of the Care Home Regulations must be kept at the home and be available to the inspector. Not complied with following the inspection of July 2003 The registered manager must achieve NVQ 4 in care and management training by 2005. Staff should be trained in order to ensure the safety of service users. Timescale for action 01/07/06 2. YA34 01/07/06 3. 4. YA37 YA42 9(2b) 13(4c) 01/07/06 01/07/06 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 YA40 Good Practice Recommendations All the homes policies and procedures should be reviewed, signed and dated by the senior staff. Develop opportunities for local staff to be involved in the development of Lancashire County Councils policies and procedures, or conversely develop policies and procedures DS0000040870.V256244.R01.S.doc Version 5.1 Page 20 98/100 Gloucester Avenue pertinent to Gloucester Avenue. 98/100 Gloucester Avenue DS0000040870.V256244.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 98/100 Gloucester Avenue DS0000040870.V256244.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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