Inspection on 29/08/06 for Allport Road (136a)

This inspection was carried out on 29th August 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Allport Road (136a) 13/02/06

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 29 August and 4 September 2006 16:00 Allport Road (136a) DS0000018966.V288888.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 Allport Road (136a) DS0000018966.V288888.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. Allport Road (136a) DS0000018966.V288888.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Allport Road (136a) Address 136a Allport Road Bromborough Wirral CH62 6BB 0151 201 6657 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.V288888.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only adults (aged 18 - 64 years) who have a learning disability may be accommodated. 13th February 2006 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 site visit. The Registered Manager also manages three other small homes owned by Wirral Autistic Society. Allport Road (136a) DS0000018966.V288888.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection involved two brief site visits. The first was made at short notice and was arranged to ensure that the inspector could speak to the service users. The second visit was made, also by arrangement, to inspect documents, including care plans and staff records. During the inspection the inspector spoke to both residents and the staff who were on duty. The Registered Manager completed a Pre Inspection Questionnaire and both service users returned survey forms before the site visit. 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.V288888.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 Allport Road (136a) DS0000018966.V288888.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4, 5. Quality in this outcome area is good. New service users are only admitted if they have been properly assessed and have been able to visit the home. EVIDENCE: One of the service users answered questions about the admission process in the survey and said that he had been fully involved when he moved in. No new service users have been admitted since the last inspection. Wirral Autistic Society takes care to ensure that service users are properly assessed and this is reflected in the detailed admission documents. The service user guide was up to date. Fees are decided by individual negotiation depending on the level of support needed, and details of the fees charged were provided on the Pre Inspection Questionnaire. There were signed contracts on the service users’ files. Allport Road (136a) DS0000018966.V288888.R01.S.doc Version 5.2 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. Quality in this outcome area is good. Care planning and risk assessment are detailed, helping to ensure that safe and appropriate care and support is provided. EVIDENCE: There are detailed yet accessible documents on file for both of the service users. The plans are reviewed twice a year, including one major review which is attended by relatives, the service user, and any relevant professionals. Any changes are recorded on the file and in one case are described in special letters, which the service user appreciates and understands. Experience has shown this apparently formal means of communication to be more effective in this case than meetings or other documents. The files include detailed pen pictures of the service users, which the service users themselves have helped to prepare, to the best of their differing abilities. Detailed risk assessments are in place. One of the service users goes out unaccompanied and the detailed assessments cover how such trips should be monitored. Staff make daily reports on each service user in separate diaries but messages are left in a joint ‘communication/handover book. This sometimes contains references to individual service users which would be better kept in the individual diary. Allport Road (136a) DS0000018966.V288888.R01.S.doc Version 5.2 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. Quality in this outcome area is good. Service users have the opportunity to take part in a wide variety of activities of their choosing. EVIDENCE: Each service user has their own, very different, lifestyle. Activities include supported employment, education, day care, airport visits and playing music. The service users also take part in everyday community activities – on the first site visit one service user went to the pictures with staff to see ‘Pirates of the Caribbean II’. The activities are recorded in some detail on the service users’ files. Both service users also spend time with their families, who live outside the area. As a voluntary organisation founded by the families of autistic youngsters the Wirral Autistic Society (the owner) places great emphasis on family involvement. One of the service users does some of the shopping for the home on his own and went of to the shops during one of the site visits. One of the service users does some of the cooking, which he says he very much enjoys. He likes traditional cooking and discusses what to cook with the other service user. Allport Road (136a) DS0000018966.V288888.R01.S.doc Version 5.2 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. Quality in this outcome area is good. Service users healthcare needs are met and fully recorded. Medication is safely dealt with, protecting the welfare of the service users, though there was one minor shortcoming. EVIDENCE: Care plans set out any requirements for personal care. The individual files contained all of the information needed about everyday medical and dental care as well as specialist professional support. One of the service users looks after his own medication apart from one medication which is taken ‘as required’. This arrangement is clearly documented. This service user completes his own Medication Administration Record sheets. It was not possible to check the records for the other service user as, on the day of the second site visit, he was away from the home and his medication had been taken with him. Some of the PRN medication appeared to have been left over from home visits and was not dated. Medication which has not been used and is undated should be properly disposed of via the dispensing pharmacist. Medication is safely stored in a locked cabinet, which is fixed to the wall. Approvals for specific homely remedies is signed by the service user’s GP. Allport Road (136a) DS0000018966.V288888.R01.S.doc Version 5.2 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. Quality in this outcome area is good. There are appropriate procedures for dealing with complaints and to protect the service users from abuse. EVIDENCE: The Complaints policy needs to be updated to refer to the Commission for Social Care Inspection rather than the now defunct NCSC (the service user guide contains the correct information, so this appears just to be a minor oversight). The Registered Person has appropriate procedures for dealing with complaints and allegations of abuse. Staff said that there had been no complaints since the last inspection. Allport Road (136a) DS0000018966.V288888.R01.S.doc Version 5.2 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. Quality in this outcome area is good. The flat provides a homely and comfortable environment for the service users but some attention is needed to some minor items to ensure that this is maintained. EVIDENCE: Allport Road is a domestic, three bedroom flat over a shop – the third bedroom is used as an office. All of the rooms are comfortably furnished with suitable domestic furniture. Both bedrooms were clean and tidy and the broken curtain rail had been repaired. There was some flaking paint on the ceiling which should be repainted. The hall carpet is quite new but gets marked very quickly, apparently because of the bitumen surface on the terrace outside the front door. This terrace also collects rainwater which makes it difficult to use and potentially dangerous. A recent report following a visit by a senior manager recommended that the surface be repaired and new furniture purchased so that it could be used as a patio. The present surface does not lend itself to this use. The front door is rather stiff to close and should be eased. The bathroom is clean and functional but rather dour and should be a priority for redecoration. There is no toilet roll holder but staff explained that there is good reason for this, based on the care plan for one of the service users. The chairs and sofa in the living room are comfortable but the covers are all very badly worn and have holes in them; they need to be replaced. The Allport Road (136a) DS0000018966.V288888.R01.S.doc Version 5.2 Page 13 management reports have pointed out for some months now that there are few photos or other evidence of one of the service users in the living room. The stated reason for this is that some photos have been taken but the film ‘needs to be used up’. This is a rather lame excuse given that the comment was first made some weeks ago. Films can be developed before every frame has been used and cheap digital cameras can be used to produce images very quickly. There is no need at the moment for specialist equipment. Allport Road (136a) DS0000018966.V288888.R01.S.doc Version 5.2 Page 14 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): 31, 32, 33, 34, 36. Quality in this outcome area is adequate. Sufficient staff are employed to meet the needs of the service users. Additional training is still needed to ensure that the service users are cared for by appropriately qualified staff. EVIDENCE: In addition to the Registered Manager there are three support workers employed at Allport Road. There is normally one member of staff on duty at all times, including a sleeping-in member of staff at night. When both service users are out at work or on visits the house may be left unstaffed though if for any reason either of them decided to stay at home then staff would be provided. Occasionally one of the service users does stay in the house alone for short periods and this has been risk-assessed. The Society’s own Bank staff are used from time to time, though not outside agencies. One of the support workers spoken to was studying for NVQ2 and his assessor was going with him and one of the service users on a trip out to assess his competence. Neither of the others have NVQ2, though one is a graduate (and not planning to do NVQ) and the other is registering for a course. The home does not, therefore, meet the standard for 50 of staff to have NVQ2. Staff have completed mandatory training and have access to the owner’s training programme, though there was no evidence of training being undertaken this year. Staff are supervised by the Registered Manager. Recruitment is organised by the Wirral Autistic Society’s Human Resources section. Allport Road (136a) DS0000018966.V288888.R01.S.doc Version 5.2 Page 15 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, 41, 42. Quality in this outcome area is good. The home is well managed and records are well kept. EVIDENCE: The Registered Manager also manages three other homes owned by the Registered Person. She visits Allport Road at least three times a week and supervises staff. The service users attend reviews and join in the running of the home, depending on their individual abilities. Fire safety records and safety certificates were up to date. Following a recommendation made after a previous inspection the accident records are kept in the home, though the member of staff on duty could not locate them. Senior managers visit the home each month and submit reports to comply with Regulation 26 and the Registered Manager responds to any issues raised. Allport Road (136a) DS0000018966.V288888.R01.S.doc Version 5.2 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 3 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 2 25 3 26 3 27 3 28 3 29 N/A 30 3 STAFFING Standard No Score 31 3 32 2 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 3 3 x 3 3 x Allport Road (136a) DS0000018966.V288888.R01.S.doc Version 5.2 Page 17 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 YA20 Regulation 13(2) Requirement The Registered Person must make arrangements for the storage of medicine and therefore must dispose safely of any medication which is not dated. The Registered Person must keep all parts of the home clean and reasonably decorated and must therefore: * repair (and if possible improve) the floor of the terrace. * repair or replace the covering to the armchairs and sofa. Timescale for action 01/10/06 2. YA30 23(d) 01/12/06 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 YA32 Good Practice Recommendations The Registered Person should continue with steps to achieve 50 of care staff with NVQ2. Allport Road (136a) DS0000018966.V288888.R01.S.doc Version 5.2 Page 18 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.V288888.R01.S.doc Version 5.2 Page 19 - 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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