Inspection on 05/05/05 for Allport Road (136a)

This inspection was carried out on 5th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Allport Road (136a) 29/08/06

Allport Road (136a) 13/02/06

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 136a Allport Road 136a Allport Road Bromborough Wirral CH62 3QA Lead Inspector Peter Cresswell Announced 5 May 2005 9.30 th 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 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 Stationary 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. 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 136a Allport Road Address 136a Allport Road, Bromborough, Wirral, CH62 6BB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0151 343 0770 Wirral Autistic Society Jane Anne Roberts PC - Care home only 2 Category(ies) of LD - Learning Disability - 2 registration, with number of places 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only adults (aged 18 - 64 years) who have a learning disability may be accommodated 2. The manager to complete her NVQ Level 4 qualification in Management. 3. 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. Date of last inspection 10/1/05 Brief Description of the Service: This home is a first floor, two storey flat above a shop in Bromborough. Access is 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. The home is registered for two people and has three bedrooms - one of which is used as a staff sleep in room and office - but there is only one service user in the home at the moment, as there has been for some time. The flat also has a spacious lounge/diner, kitchen and bathroom. 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The only service user was present for this announced inspection and spoke at length to the inspector. The inspection also included a tour of the property and examination of records, especially care plans. The inspector also spoke to the registered manager and the member of staff on duty. The inspection lasted about five hours. 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. 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 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 standard(s) 2 and 5 Service users are only admitted if their needs have been properly assessed. EVIDENCE: There is only one service user in the home at the moment and the Registered Manager said that a new service user would only be admitted if s/he had been fully assessed and was compatible with the existing service user. The service user has a contract on file. 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 8, 9, and 10. Care planning and risk assessment is detailed and well recorded. EVIDENCE: There is a detailed care plan in place. The plan is reviewed twice a year; once at a major review involving the service user, his family and other professionals, the second usually only involves the service user and support staff in the home. The plan is amended as necessary following each review. The service user makes decisions about his own lifestyle, including choosing his own daytime and evening activities. He is supported in taking appropriate risks and risk assessments are completed and kept on file as appropriate. The service user spent some time talking to the inspector and it was clear that he does not agree with some aspects of his care plan. 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 13, 14, 15, 16 and 17 The home supports the independence and development of the service user. EVIDENCE: The service user takes part in a range of activities, including supported employment in different settings and leisure activities such as swimming. He also attends social activities in the evenings including spending leisure time in the flat, with friends and family or in local facilities. He is offered appropriate support in these activities. Staff and the service user do the shopping locally s and in supermarkets and the service user can choose what food he wishes to eat. He is given advice about healthy eating and sometimes helps to prepare food. He also helps with normal activities around the house. 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 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 standard(s) 18, 19, and 20 Medication, care and health issues are handled appropriately in this very small home. EVIDENCE: No physical personal care is needed. All medication is to be administered only as required and is stored securely. 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 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 standard(s) 22 and 23 Appropriate procedures are in place. EVIDENCE: The home is owned by the Wirral Autistic Society, which has appropriate procedures in respect of complaints and adult abuse. 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 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 standard(s) 24, 25, 26, 27, 28, and 30 The property is clean and homely. EVIDENCE: The home is a normal, domestic three bedroom flat and all of the rooms are furnished appropriately. It is kept clean by the staff and service user. The kitchen needs some refurbishment as some of the units are now rather battered and the Registered Manager said that the owners were planning to do this by 14 May 2005. No specialist equipment is needed. The bathroom has been refurbished. The hall carpet has not yet been replaced or properly cleaned as required from the last inspection but the manager said that this is in hand. 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 32, 33, 35 and The home has a well trained and well organised staff team providing intensive support. EVIDENCE: The home is staffed by a team of three care staff who provide one to one 24hour support to the service user. One of the care staff has an NVQ2, another has an NVQ3 and the other is studying for an NVQ2. Staff also receive regular training on adult abuse, moving and handling and first aid. The staff team is supported by the Registered Manager Staff are supervised regularly – every three months - and this is recorded. The staff team holds regular team meetings and all of them attend reviews. All of the meetings are minuted. No new staff have been recruited since the last inspection and the staff team has been very stable. 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 40, 41, and 42 The home is well managed and records are well kept. EVIDENCE: The Registered Manager also manages three other properties. One of the properties she used to manage has closed so the relevant condition in the home’s registration can now be cancelled. The manager now has an NVQ4 in the management of care so that the second condition of the home’s registration can also be cancelled. Records are well kept but some records, such as personnel files are kept centrally by the organisation. Visits are carried out by senior members of the owners but reports have not been forwarded to the CSCI in accordance with Regulation 26. 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 Page 15 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 x 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 N/A 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 136a Allport Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 2 3 x F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 Page 16 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 24 Regulation 23 Requirement Timescale for action 1 July 2005 2. 41 26 The registered person must arrange for necessary and adequate action to be taken in relation to the stained hallway carpet. (Originally required by 30 November 2004) The Registered Person must With supply copies of reports made to immediate comply with Regulation 26 to the effect CSCI. 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 None Good Practice Recommendations 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Liverpool Office 3rd Floor, 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 136a Allport Road F52 F02 S18966 136a Allport road V225704 0505050 Stage 4.doc Version 1.30 Page 18 - 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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