Inspection on 08/03/06 for Allport Road (86)

This inspection was carried out on 8th March 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 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) 19/11/05

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 8th March 2006 17:15 Allport Road (86) DS0000018963.V286558.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 (86) DS0000018963.V286558.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 (86) DS0000018963.V286558.R01.S.doc Version 5.1 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.V286558.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Only adults (aged 18 - 64 years) with a learning disability may be accommodated The Manager is to complete her NVQ Level 4 in Management. The Manager to be registered for 134A Allport Rd for 3 months until an application to relinquish the registration of the home has been processed. 19th November 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.V286558.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place during the evening of 8th March 2006 and lasted two and a half hours. The inspection involved observation of and discussion in respect 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. What the service does well: What has improved since the last inspection? What they could do better: The home should continue reviewing and developing the service provided to ensure that current good practice is maintained. Allport Road (86) DS0000018963.V286558.R01.S.doc Version 5.1 Page 6 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.V286558.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 Allport Road (86) DS0000018963.V286558.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): 2,5 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: Standard 2 could not be fully assessed at this inspection, as there had been no recent admissions to 86 Allport Road. Standard 5 was not fully assessed. However, progress in taking action to address the recommendation made at the last inspection was monitored. There had been no changes made to the statement of purpose. Therefore, the recommendation regarding the service user guide providing clearer information on the costs of refreshments for staff that service users are expected to pay for remains outstanding. Allport Road (86) DS0000018963.V286558.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): 8 Information about the service provided was available in suitable formats. EVIDENCE: Standard 8 was not fully assessed at this inspection. However, progress in taking action to address the recommendation made at the last inspection had been taken. An action plan had been implemented to demonstrate that all relevant documents would be developed in alternative formats should the need arise to ensure that sufficient information is available in formats suitable to the capabilities of the individual. Allport Road (86) DS0000018963.V286558.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): 17 The arrangements in place in relation to diet placed an emphasis on encouraging service users to make decisions themselves with regard to their choice of meals and developing their self-help skills in this area. EVIDENCE: A nutritional assessment was completed for each resident and weights checked regularly as part of the care process so that any problems or concerns could be identified and action taken. From discussion with staff and observation during the inspection it was evident that service users chose to eat together and were all involved in deciding what should be on the menu each day. Service users were encouraged to help with food preparation and a rota had been developed that identified whose turn it was to help with the catering. This made sure allocation was fair and service users knew when it was their turn to help. Allport Road (86) DS0000018963.V286558.R01.S.doc Version 5.1 Page 11 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): The key standards were not assessed at this inspection as they were considered fully met at the last inspection. EVIDENCE: Allport Road (86) DS0000018963.V286558.R01.S.doc Version 5.1 Page 12 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 Complaints were managed well and taken seriously so that service users could be confident that any issues raised would be acted upon. Management processes in relation to abuse were thorough enough to ensure the protection of service users. EVIDENCE: The home had a detailed and illustrated complaints procedure, available in different formats, which was made available to all residents on admission and displayed in the Statement of Purpose and Service User Guide. A copy of the procedure was available to service users within the home and they were well informed about how to complain. The home had received one complaint since the last inspection. Appropriate records had been kept, which showed that the complaint had been managed and documented properly. The organisation had a complaints policy that recognised the importance of creating a positive attitude within the home, towards the expression of satisfaction or dissatisfaction. Staff were aware of this policy and made sure it was adhered to in day-to-day practice. Allport Road (86) DS0000018963.V286558.R01.S.doc Version 5.1 Page 13 The home had an adult abuse policy and whistle blowing policy, in addition to a copy of guidance issued by the department of health. Discussion with staff showed that they were aware of the above documentation and were quite clear about what they would do if an allegation or suspicion of abuse came to their attention. The policies of the home demonstrated that verbal and physical aggression would be appropriately managed and any volatile situations would be diffused, as far as possible and dealt with in accordance with the home’s policies and procedures. At the time of the inspection it was observed that the staff at the home were monitoring a potentially unpredictable situation in an appropriate and sensitive manner to ensure the continued safety of those living at the home. Allport Road (86) DS0000018963.V286558.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): 24 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. The recommendation made at the last inspection to produce maintenance and renewal programme for the fabric and decoration of the premises had been addressed. 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. Allport Road (86) DS0000018963.V286558.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): 32, 34, 35 The home had an effective staff team that was appropriately trained and had the skills and experience to manage and meet the needs of service users. The home’s recruitment policy was thorough and provided a safe framework for staff to follow to make sure service users were protected. EVIDENCE: The home had a training and development programme linked to the service provided and the needs of residents. Individual training records were kept so that training needs could be identified and relevant training provided. Discussion with staff showed that they had received induction training and training specific to the work they were expected to carry out. Staff felt that training opportunities, both formal and informal were good. Comments included “There is lots of training and we are encouraged to go on lots of courses and it helps us understand what is expected of us and how best to look after people”. National vocational training (NVQ) was available to care staff and the three main carers had already achieved level two or three so that the home exceeded the fifty per cent needed to meet the national minimum standard. Allport Road (86) DS0000018963.V286558.R01.S.doc Version 5.1 Page 16 Standard 34 could not be fully evidenced on this occasion as all documentation in relation to staff was held centrally at Head Office. However, written policies of the home demonstrated that appropriate recruitment procedures were in place to ensure the continued protection of people living at the home. The Commission will need to see documented evidence that polices and procedures are being implemented before the standard in relation to recruitment can be considered fully met. Allport Road (86) DS0000018963.V286558.R01.S.doc Version 5.1 Page 17 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): 39, 42 Systems were in place to make sure that service users’ views formed the basis of any review and development of the service provided. Health and safety issues were appropriately managed, providing a safe environment for people that lived at the home. EVIDENCE: Standard 37 could no be assessed as all records relating to the registered manager were not available. However, discussion with staff showed that the manager provided leadership and direction so that every one knew what their role was and what was expected of them. The home had systems in place to gather information and feedback from service users about the home and what they felt about living there. Staff were able to discuss how this feedback was obtained and how it was then used to adjust or improve the service if needed. Allport Road (86) DS0000018963.V286558.R01.S.doc Version 5.1 Page 18 Policies and procedures of the home had been reviewed and updated on a regular basis so that people were aware of current legislation and good practice guidelines. Discussion with the manager and staff demonstrated a clear commitment to health and safety issues and a number safe working practices were verified at the time of inspection. Training in relation to health and safety issues had been provided for all staff so that they were able to promote the health, safety and welfare of the people they cared for. Certificates were inspected which confirmed that regular servicing had taken place in relation to systems and equipment used by the home. Allport Road (86) DS0000018963.V286558.R01.S.doc Version 5.1 Page 19 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 X 5 2 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 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 3 X X 3 X Allport Road (86) DS0000018963.V286558.R01.S.doc Version 5.1 Page 20 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. Refer to Standard YA5 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 stored items of furniture that do not belong to service users be removed. 2. YA24 Allport Road (86) DS0000018963.V286558.R01.S.doc Version 5.1 Page 21 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.V286558.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. 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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