Inspection on 19/11/05 for Allport Road (86)

This inspection was carried out on 19th November 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

Allport Road (86) 12/09/06

Allport Road (86) 08/03/06

Allport Road (86) 06/01/05

Allport Road (86) 21/06/04

Allport Road (86) 20/02/04

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 (86) 86 Allport Road Bromborough Wirral CH62 6AG Lead Inspector Anne Taylor Unannounced Inspection 19th November 2005 09:30 Allport Road (86) DS0000018963.V268251.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 Allport Road (86) DS0000018963.V268251.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. Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Allport Road (86) Address 86 Allport Road Bromborough Wirral CH62 6AG 0151 334 9698 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 3 Category(ies) of Learning disability (3) registration, with number of places Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The Manager is to complete her NVQ Level 4 in Management. The Manager to be registered for 134A Allport Rd for a 3 months until an application to relinquish the registration of the home has been processed. Only adults (aged 18 - 64 years) with a learning disability may be accommodated 6th January 2005 Date of last inspection Brief Description of the Service: 86 Allport Road provides accommodation for three adults with a learning disability. Wirrall Autistic Society who has several care homes for adults with a learning disability in the area runs the home. Wirrall Autistic Society provides a range of services and facilities, which are fully utilised by the service users accommodated at 86 Allport Road. The home is a detached, domestic property in a residential part of Wirrall. It is within walking distance of the local shops and a few minutes drive away from Bromborough, where there are a selection of shops, banks and leisure facilities. The home has access to public transport via the local bus and train service. The home offers single occupancy rooms for service users. There is a communal lounge, a dining room, which can also be used as a sitting room, an activities room and kitchen. There is a large garden with a patio to the rear of the house. Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on a Saturday evening in November 2005. The inspection involved observation of and discussion in respect of one of the service users who lived at the home and also discussion with and observation of the staff working there, an examination of records, policies and procedures and a tour of the premises. As part of the inspection, the inspector used “case tracking” as a means of assessing some of the National Minimum Standards. This process allowed the inspector to focus on one of the service users living at the home. All records relating to that individual are inspected along with the room occupied at the home. Where possible the service user is invited to discuss their experiences of living at the home. What the service does well: This is a care home where service users are encouraged and helped to make decisions and are supported to take risks as part of an independent lifestyle. Efforts are made to make sure service users and their representatives are consulted about the care planning process so that individual support needs and preferred routines can be identified. The staff team work well together and show a good understanding of the needs of the people living at the home. People living at the home benefit from the happy relaxed atmosphere and good relationships have been established between service users and staff. The home arranges appropriate home based and community based activities. Staff encourage, support service users to participate in these, taking into account the individual interests of each service user. The home is clean comfortably furnished and well maintained for the benefit of both service users and staff and is well placed to enable the service users to access local facilities. Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 6 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 (86) DS0000018963.V268251.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 Allport Road (86) DS0000018963.V268251.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): This standard could not be fully assessed at this inspection, as there had been no recent admissions to 86 Allport Road. Previous inspections have shown that the pre-admission process is in sufficient detail to ensure that service users are compatible and that individual needs can be met. EVIDENCE: The recommendation made at the last inspection regarding service users being supported by family and friends and/ or an advocate, as appropriate when drawing up the contract had been addressed. The recommendation regarding the service user guide providing clearer information on the costs of refreshments for staff that they are expected to pay for remains outstanding. Allport Road (86) DS0000018963.V268251.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): 6,7,9 Staff at the home promoted an independent lifestyle, which allowed service users to make decisions, take controlled risks and be involved in the care planning process. EVIDENCE: The standard of record keeping in relation to care planning was good. This helped the care process and protected the welfare of service users. A care plan had been developed and agreed with each service user. For service users whose condition did not allow this, relatives had been approached to discuss and agree the plan of care. The plans were detailed and based upon information obtained during the pre admission assessment process. Discussion with the staff indicated that they had an understanding of the service users needs and were skilled in ensuring individual needs were consistently met. Risk assessments were in place to ensure the provision of care was done so safely and service users able to maintain an independent lifestyle. The risk assessments also showed why service users’ rights might be limited in order to safeguard their wellbeing. Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 10 Guidance and information was given by staff to help service users make decisions about their own lives and support given around their communication needs. Although standard 8 was not assessed at this inspection the recommendation made at the last inspection was discussed with staff present at the time. The recommendation in relation to improving the service user guide, service user plans and more of the home’s policies and procedures so that they are in a format that is suitable for the people, for the whom the home is intended, remains outstanding. . Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 11 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): 12, 13, 15, 16 The home provided opportunities for service users to follow their interests and hobbies, promoting their involvement and inclusion in the local community. Staff at the home recognised the importance of family links and friendships and supported service users in maintaining them. The daily routines promoted independence and individual choice so that service users were able to have some control over their lifestyle. EVIDENCE: Service users at Allport Road were actively encouraged to take part in age, peer and culturally appropriate activities. They were provided with a range of learning opportunities and social activities, in accordance with their abilities, which gave them an opportunity for personal development. Activity plans for each service user showed that they joined in planned activities in accordance with their needs, skills and individual preferences. Work experience and educational opportunities were also provided and encouraged. Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 12 Staff were able to discuss the range of opportunities for service users to become involved in the local community. This included visits to local shops, library, cinema and bowling. In addition they could participate in community life through attendance at college courses and work experience placements. The home had arranged for local newspapers to be delivered daily, which provided service users with information about local activities and resources available to them. Volunteers and staff provided help and support for service users that chose to be involved in local activities. Records and discussion with staff showed that family links and friendships were encouraged so that service users could maintain and develop relationships with significant others. The arrangements for contact with the family were written into individual plans so that staff could be made aware of service users’ wishes and how best they could help service users maintain relationships that are important to them. Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 13 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 Service users received sensitive and flexible personal support and care in a way that maximised their rights and ability to have control over their lives. EVIDENCE: Information was available to staff on the support service users needed around personal care so that they could provide assistance and guidance if necessary. Records showed that service users, their representative and other healthcare professionals were consulted about individual health and personal care needs so that needs were clear and staff able to provide support for service users to ensure their personal and healthcare needs were met. Records of annual reviews showed that service users had access to a range of healthcare professionals as needed. Service users were supported and helped to take control of and manage their own healthcare in accordance with their abilities. The key worker system provided consistency and continuity of support for service users so that they were comfortable with the staff that supported them. Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 14 Policies and procedures in relation to the safe handling of medicines were in place and accessible to staff for guidance and advice if needed. Issues of capacity and consent to being administered medication had been dealt with by the home so that service users, wherever possible, or their representative could make informed decisions about this aspect of their care. One service user had chosen to self medicate and a risk assessment had been carried out so that this could be done safely. Staff spoken to said that they had received training in the administration of medication so they could practice safely. Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 15 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): Not assessed at this inspection. Previous inspections show that the key standards were fully met. EVIDENCE: Although standard 23 was not assessed at this inspection the recommendation made at the last inspection was discussed with staff present at the time. They were not aware of any changes made to the adult protection procedure so the recommendation remains outstanding. Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 16 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): 24,30 The home was clean, comfortable, and homely and provided an environment that was suitable for it’s stated purpose. EVIDENCE: The home was in keeping with the local community and close to local amenities. Comfortable accommodation was provided and residents had their own rooms, which they had personalised. Some redecoration had been carried out since the last inspection. However, a planned maintenance and renewal programme for the fabric and decoration of the premises would help make sure that maintenance and upgrades are ongoing so that service users can continue to live in comfortable and well-maintained surroundings. There were still several large items of furniture stored in the garage that belong to the Wirrall Autistic Society and not the residents. The garage has been made inaccessible to the residents but it is recommended that these items be removed, as it does not create a homely environment. The home was clean and free from offensive odours and confirmation that the services and facilities comply with the Water Supply (Water Fittings) Regulations 1999 had been provided at a previous inspection Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 17 Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 18 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): These standards were not assessed as all recruitment and training records were held centrally at head office. EVIDENCE: Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 19 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): These standards were not assessed at this inspection. EVIDENCE: Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 20 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 X X X 2 Standard No 22 23 Score X x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 2 X x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Allport Road (86) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score X X X x X X x DS0000018963.V268251.R01.S.doc Version 5.0 Page 21 NO 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. Standard Regulation Requirement Timescale for action 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 2 Refer to Standard YA5 YA8 Good Practice Recommendations The service user guide should provide clearer information on the costs of refreshments for staff that they are expected to pay for. It is recommended that the service user guide, service user plans and more of the homes polices and procedures be made available in formats suitable for the people living at the home. It is recommended that a shorter and more accessible version of the adult protection procedure be made available to staff. It is recommended that a planned programme of maintenance and renewal for the fabric and decoration of the premises be put in place. It is recommended that stored items of furniture that do not belong to service users be removed, as it does not create a homely environment. 3 4 5 YA23 YA24 YA24 Allport Road (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 22 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 (86) DS0000018963.V268251.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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