Inspection on 13/02/06 for Allport Road (136a)

This inspection was carried out on 13th 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 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Allport Road (136a) 29/08/06

Allport Road (136a) 05/05/05

Allport Road (136a) 30/09/04

Allport Road (136a) 29/02/04

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 Allport Road (136a) 136a Allport Road Bromborough Wirral CH62 6BB Lead Inspector Peter Cresswell Unannounced Inspection 13th February 2006 11:55 Allport Road (136a) DS0000018966.V283137.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 Allport Road (136a) DS0000018966.V283137.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. Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Allport Road (136a) Address 136a Allport Road Bromborough Wirral CH62 6BB 0151 343 0770 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) jane.roberts@wirral.autistic.org Wirral Autistic Society Jane Anne Roberts Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Only adults (aged 18 - 64 years) who have a learning disability may be accommodated. The Manager to complete her NVQ Level 4 qualification in Management. The Manager to be registered at 134A Allport Rd for 3 months until an application to relinquish the registration of the home has been processed. 5th May 2005 Date of last inspection Brief Description of the Service: This home is a first floor, two storey flat above a shop in Bromborough. The flat is reached via an external stairway and terrace at the rear of the building. The shop is part of a small shopping parade about a mile from Bromborough Village and a short walk from the New Chester Road. It is close to bus and rail routes to Birkenhead, Eastham and beyond. The home is registered for two people and has three bedrooms - one of which is used as a staff sleep in room and office. The flat also has a kitchen, bathroom and a spacious lounge/diner. There were two residents in occupation at the time of the inspection. The Registered Manager also manages three other small homes owned by Wirral Autistic Society. Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Both service users were out during this unannounced inspection, though one of them called in very briefly. The inspector spoke to the Registered Manager, who also manages three other small homes. He toured the building and examined documentation, including care plans and fire safety records. 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. Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4, 5. Service users are only admitted if they have been properly assessed, ensuring that their needs can be met by the home. EVIDENCE: The sole service user in residence at the last inspection has moved on and there are now two new service users in the flat. Both were previously with the owners, Wirral Autistic Society (‘the Society’) in other homes and detailed assessment documents had been completed and are on file. The Registered Manager said that a particular concern had been to ensure that the two residents were compatible with each other. The service users and their families had been fully involved in the preparation for the move to Allport Road. Signed contracts were on the service users’ files. Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9. Care planning and risk assessment is detailed and well recorded, helping to ensure that safe, appropriate care and support is provided. EVIDENCE: There are detailed care plans in place for both residents. The plans are reviewed twice a year; once at a major review involving the service user, their family and other professionals, the second usually only involving the service user and support staff in the home. The plan is amended as necessary following each review and for one of the residents any such changes are set out in a carefully prepared letter, which has proved to be an effective means of communication. One of the files includes a lengthy and informative ‘Communications Passport’ (a detailed pen picture) and one is being prepared with the other service user. Each service user has different needs and capacities and one of them takes part in a wide range of activities either alone or with minimal support. The other service user needs more intensive support. Risk assessments were in place to reflect these differing needs. The service users are actively involved in the running of the home and take part in meetings with staff. Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 9 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, 16, 17. The home supports the independence and development of the service users, who are supported in taking part in a variety of stimulating activities. EVIDENCE: The service users take part in a range of activities, including supported employment in different settings and leisure activities such as visiting airports and playing music. The activities were set out in some detail on the individual files. Both attend the Registered Person’s day services and detailed records are on file of their activities and achievements there. Both take part in social activities at the weekends and evenings in their own individual way. They also spend leisure time in the flat, with friends and family or in local facilities. Families are involved with both service users and the Registered Manager encourages this. The Wirral Autistic Society is a voluntary organisation, which was founded by families of autistic people and therefore places a high value on the involvement of family members. Staff and one of the service users do the shopping locally on alternate weeks and that service user prepares some of the meals on his own. A record of the meals served is kept and showed that meals are varied and nutritious. Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 10 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. Medication, care and health issues are generally handled appropriately in this very small home though there is some room for improvement in the recording of medication. EVIDENCE: Only one service user requires physical personal care and the care plan sets out how it is to be delivered. The individual files contained detailed evidence of routine medical and dental care as well as specialist professional support. One of the service users takes responsibility for his own medication but staff retain some medication which he takes on an ‘as required’ basis. This is something of a halfway house and the records were not absolutely clear. The Registered Manager acknowledged that the situation needs to be clearly set out and a uniform system used. Medication is securely stored. Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 11 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. Appropriate procedures are in place to deal with complaints and prevent the abuse of vulnerable adults, thereby protecting the rights and interests of the residents. EVIDENCE: The home is owned by the Wirral Autistic Society, which has appropriate procedures in respect of complaints and adult abuse. The home’s own records were not examined again on this occasion and the Registered Manager said that no complaints had been received since the last inspection. Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 30. The home is, on the whole, clean, well decorated and well maintained, providing a homely environment for the people who live there, though some lack of attention to cleanliness adversely affects the living conditions of the residents. EVIDENCE: The home is a normal, domestic three bedroom flat and all of the rooms are furnished appropriately. The third bedroom is used as an office. The flat is kept clean by the staff and service user. No specialist equipment is needed. The hall carpet has been replaced since the last inspection but is already stained; the Registered Manager attributes this to the tarmac outside being trodden in. Whatever the cause, attention needs to be paid to ensure that the flat retains an acceptable level of décor. The bedrooms are personalised and reasonably spacious but one of them was exceptionally untidy and had evidently not been cleaned or tidied that day. In addition, the curtain rail was hanging off the wall and needed to be repaired. The state of the room was unacceptable and the Registered Manager said that she would address the issue with the staff. The bathroom is adequately equipped and decorated though the dark floor covering is unattractive and institutional. When the time comes for replacement the new covering should be domestic and homely. Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 13 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, 36. Sufficient staff are employed to meet the needs of the residents. Additional training is needed to ensure that residents are cared for by appropriately qualified staff. EVIDENCE: There is a completely new staff team at Allport Road (apart from the Registered Manager) as the former staff went with the former resident to his new placement. There are at present two members of permanent staff (in addition to the manager) both of whom were already employed by the Society at different locations. Staff records are kept at the owner’s central office. There is a vacancy, which is currently being covered by other members of the Society’s staff. One of the support workers is studying for an NVQ2. The home therefore does not yet meet standard 32 which states that 50 of care staff should have NVQ2 or above. There is at least one member of staff on duty whenever a service user is in the home, apart from short periods when one of them may be left alone, following a full risk assessment, a copy of which was on file. Staff are currently supervised every month and records are kept. Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. The home is well managed and records are on the whole well kept, though there are some areas which need to be improved to ensure the safety of residents. EVIDENCE: The Registered Manager is appropriately qualified and experienced. She manages three other homes owned by the Society and visits Allport Road at least three times a week. The service users attend reviews and play a full part in the running of the home, according to their differing abilities and interests. Fire safety records are kept but had not been kept entirely up to date at the time of the inspection. The hot water delivered to the bathroom was excessively hot and the thermostat needs to be adjusted. Accident records are completed but are then sent to the Registered Person’s headquarters on the grounds that they contain confidential information (staff addresses). Records such as this clearly need to be securely stored but as Schedule 4 (Regulation 17) of the Care Homes Regulations 2001) requires records of ‘any accident’ to be kept in the home, there seems to be no reason why such secure storage cannot be made available in the flat. The Chief Executive visits the home to Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 15 inspect it but these reports are not at the moment sent, as required by the Care Homes Regulations, to the Commission for Social Care Inspection. Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 16 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 3 3 x 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 3 29 x 30 2 STAFFING Standard No Score 31 x 32 2 33 3 34 x 35 x 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 x 2 Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 YA20 Regulation 13(2) Requirement Timescale for action 01/04/06 2. YA30 23(d) 3. YA41 26 4. YA42 23(4) The Registered Person must make arrangements for the recording of medicine and therefore needs to establish a recording system which clearly identifies which items are retained for self-administration and which are dealt with by staff. The Registered Person must 01/03/06 keep all parts of the home clean and reasonably decorated and must therefore: * ensure that service users’ rooms are kept clean and tidy at all times and must repair the curtain rail in the identified service user’s room; * repair the toilet roll holder. The Registered Person must 01/04/06 supply copies of reports of monthly visits to the home to the CSCI. (Originally required by 5 June 2005) The Registered Person must 13/02/06 make adequate arrangements for the maintenance of fire equipment and must therefore ensure that regular checks are conducted and recorded. DS0000018966.V283137.R01.S.doc Version 5.1 Allport Road (136a) Page 18 5. YA42 17(2) Schedule 4 The Registered Person must retain in the home a record of any accident that occurs in the home. 01/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Allport Road (136a) DS0000018966.V283137.R01.S.doc Version 5.1 Page 20 - 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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