Inspection on 23/05/06 for Arbour Street, 53

This inspection was carried out on 23rd May 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Arbour Street, 53 26/04/07

Arbour Street, 53 06/02/06

Arbour Street, 53 13/10/05

Arbour Street, 53 03/11/04

Arbour Street, 53 30/06/04

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 Arbour Street, 53 53 Arbour Street Southport Merseyside PR8 6SQ Lead Inspector Mrs Elaine White Unannounced Inspection 23rd May 2006 09:00 Arbour Street, 53 DS0000005233.V291145.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 Arbour Street, 53 DS0000005233.V291145.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. Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Arbour Street, 53 Address 53 Arbour Street Southport Merseyside PR8 6SQ 01704 532441 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) Speciality Care (Rest Homes) Limited Mrs Jean Mulhearn Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 3 LD The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 6th February 2006 Date of last inspection Brief Description of the Service: 53, Arbour Street is a large semi-detached property, which has been converted into a small care Home, which provides personal care and support for up to three residents with a learning disability. Two residents were present throughout the inspection. The home is registered as a ‘home for life’ with Speciality Care (Rest Homes) Limited, and is managed by the acting manager Mr Werner Myburgh. A new responsible person is yet to make an application to be appointed. The home is yet to appoint a registered manager who has been approved by the Commission of Social Care Inspection. The home is situated in a residential area, which is located close to the town centre of Southport. The local amenities are accessible via local transport services and include cinema, swimming pool, shops, pubs, restaurants and parks. The home provides a homely domestic setting for the two young adults resident. Each has their own bedroom and communal facilities include two lounges, dining area, small-enclosed garden and kitchen. Each residential placement is based on an individual needs assessment, individual care plan and activity programme. The charges for accommodation are £914.72 - £935.40. Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day. It was an unannounced inspection (site visit) and was carried out as part of the regulatory requirement for care homes to be inspected. A full tour of the home was conducted and care records and other home records were viewed. Discussion took place with the acting manager; 1 care staff and the 2 residents were present. 2 residents were accommodated at the time of the inspection. During the inspection the 1 resident was case tracked (their care files were examined and their views of the home were obtained). This process was not carried out to the detriment of other residents who also took part in the inspection process. All the key standards were inspected and also previous requirements and recommendations from the last inspection in February 2006. Satisfaction survey forms “Have Your Say About …” were distributed to the residents and a relative prior to the inspection. Comments included in the report are taken from the survey forms and also during the site visit. What the service does well: The home is comfortably furnished and spacious. Each resident has their own room and there are two communal lounges available, a dining area and kitchen, which provide sufficient space for the residents accommodated. An activity programme is in place, which provides access to the facilities in the local community and other areas, such as the Lake District, which is accessed via the college mini bus. Residents are encouraged to maintain contact with peers and family members. One resident regularly visits his mum for short breaks and has contact via the home’s telephone. A relative commented, “When I visit my son, the home is always clean and tidy especially since Werner has been in charge”. Reviews take place monthly by the home’s manager. Reviews with other professionals involved in their care also take place to monitor their progress. The health care needs and behaviour of one resident is presently under review and the outcome is yet to be determined. A behaviour-monitoring plan is being used to monitor the resident’s progress. Risk assessments and a protocol for Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 6 staff is in place in view of the residents learning disability needs. Health care needs are recorded and access to health care professionals is available. What has improved since the last inspection? What they could do better: Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 7 The outstanding requirements from the last inspection have yet to be met, which will improve the standard of the home. Discussion with the manager and director of residential services, confirmed that action has been taken to obtain quotes for the work required and this is to be carried out during the summer months. The requirements outstanding are contained in the ‘Requirements’ section of this report with times scales set. The rear garden needs tidying up and the build up of rubbish removed to provide a safe and attractive area for the residents and staff to sit. Discussion took place with Greta Morphet, Director of Residential services who agreed to have the rubbish removed. The residents would benefit from the installation of a computer for their use to develop their skills. The residents were provided with a short holiday break during last year and a holiday for this year is yet to be planned. The home must appoint a registered manager who has been approved by CSCI. 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. Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 8 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 Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 9 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. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service Assessment documentation is in place to ensure the home can meet the needs of the residents. EVIDENCE: Both residents have lived at 53, Arbour Street for many years and there have been no new admissions to the home since the last inspection. Assessments of need are in place and were completed prior to admission. The assessment covers health and personal care, risk assessments, social background and likes and dislikes. Observation and feedback from a relative confirmed that one resident is very settled at the home. The other resident is presently under review by professionals involved in the care to determine if the home can continue to meet the resident’s needs. Behaviour monitoring plans are in place to monitor progress. Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 10 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. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents health, personal and social care needs are addressed in care plans and risk assessments are in place. Residents are involved with decision making in the home through reviews and resident meetings. EVIDENCE: Residents’ care files record their health, personal and general care needs. Care plans evidenced ‘pen portraits’ regarding all aspect of personal care, health and general needs, communication and behaviour. Skin care, hygiene, sleep pattern, weight and nutrition are recorded. An annual health check is also completed. All visits to health care professionals are recorded. One resident is under review by all involved in providing care and support in view of his change in behaviour. The staff at the home to assess progress is monitoring this closely are records maintained. Residents and staff were seen to communicate effectively throughout the visit. One resident’s communication Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 11 skills have improved and was observed to communicate well with the staff on duty. Residents have communication difficulties, however resident meetings take place and residents are included in deciding menus and daily activities of their choice were possible. Both residents have regular contact with their relatives who are able to act on their behalf. An advocate service is available should this be required. Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 12 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): 12,13,15,16,17. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The residents engage in appropriate leisure facilities, mix with peer groups and take part in the local community. Residents take part in daily living tasks and are provided with a healthy diet. EVIDENCE: Activity plans viewed showed activities provided in the local community include, golf, disco, cinema, bowling, walks, resource centre and shopping. The college mini bus is available weekly to enable the resident’s access to activities outside the local area. These include trips to the Lake District, Parbold and Albert Dock at Liverpool. Pictures are displayed in the home and both residents were seen enjoying themselves. Residents were pleased to demonstrate the activities they had taken part in by using the pictures on display. Residents’ mix with peer groups at the weekly disco and often visit other ‘houses’ were their friends live. During the visit the residents had accessed the resource centre in the morning and went out for their lunch. Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 13 Residents are encouraged to maintain contact with their relatives. One relative who receives regular phone calls and visits from her son confirmed this. Since the last inspection the residents have been on a short break to the Lake District with staff support. Further holidays are yet to be planned for this year. Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 14 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. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Resident’s health needs are assessed and outlined within a plan of care. Residents have access to their own GP and other health professional where appropriate. Medication procedures are in place to ensure safe handling of medication. EVIDENCE: Care files viewed evidenced visits by GPs, other community based services and health professionals. Records are made of all visits. One resident was attending the dentist at the time of the visit. The residents receive prompting and guidance from staff regarding their personal hygiene. Care plans evidence short, medium and long-term targets. Residents’ weights are recorded and monitored. A protocol is in place for staff to follow in view of the residents’ learning disability and their need for routines to be followed. The health care needs of one resident are presently under review and are being monitored closely and records maintained by the staff. Medication policies and procedures are in place and the manager has recently completed medication training. This should be provided for all are staff Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 15 employed and is recommended in this report. Both residents are unable to administer their own medication. Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 16 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. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. A complaints procedure is in place. The home has abuse policies and procedures to safeguard the residents and staff. EVIDENCE: The complaint procedure is displayed in the home. No complaints have been recorded since the last inspection. Both residents have relatives who act on their behalf and are regularly involved in their reviews. The home has an abuse policy and POVA (protection of vulnerable adults) training is now included in the home’s training plan. A copy of the new Sefton and Liverpool ‘Safeguarding Adults’ documents is available in the home and available for staff to access. Financial policies and procedures are in place and records and receipts obtained for all financial transactions made. Both residents are unable to manage their own finances. Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 17 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): 24,25,26,27,28,29,30. The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. The home is comfortable, spacious and clean. Repairs and improvements should be addressed improve the standard. EVIDENCE: Arbour Street is a converted house. The home has three bedrooms, two lounges, dining room, kitchen, staff room, staff bathroom and residents’ bathroom. All areas of the home were viewed and found to be comfortable and clean. The bedrooms have personal possessions including electrical equipment, pictures and photographs. There are still a number of requirements outstanding from the last inspection, which includes repairs, replacement and redecoration. Some improvements have been made – tiles replaced in the kitchen and the worktop repaired. The outstanding requirements from the last inspection have yet to be met, which will improve the standard of the home. Discussion with the manager and director of residential services, confirmed that action has been taken to obtain quotes for the work required and this is to Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 18 be carried out during the summer months. The requirements outstanding are contained in the ‘Requirements’ section of this report with times scales set. The rear garden needs tidying up and the build up of rubbish removed to provide a safe and attractive area for the residents and staff to sit. Discussion took place with Greta Morphet, Director of Residential services who agreed to have the rubbish removed. The residents would benefit from the installation of a computer for their use to develop their skills. The front door is kept locked for security purposes. The residents do not have keys to their rooms or the home for safety risks. Additional fire and smoke detectors are yet to be installed as outlined in the fire inspection report 9/8/05. Fire drills take place and records are kept. Meals are served in the spacious dining room. Radiator covers are in place in some rooms. Policies and procedures are in place for infection control. Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 19 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 quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. A recruitment and selection procedure is in place. Training records are in place. Some staff are qualified in National Vocational Qualifications (NVQ). EVIDENCE: Staff personal files were not viewed at this visit as no new staff have been employed since the files were viewed at the last inspection. Training is planned to update staff in food hygiene in May 2006. Discussion with staff and viewing of certificates confirmed that training is in place, up to date and ongoing. A core group of 3 regular care workers (including the manager) provide continuity of care for the residents’ daytime and one member of staff for night cover. Some care staff are qualified in NVQ, however the manager is yet to enrol on an NVQ Level 3 course. Supervision and appraisals are in place and staff spoken with confirmed this. Regular staff meetings take place to monitor the progress of the home. Agendas are set and records made. Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 20 Staff were observed to communicate effectively with the residents during the site visit. Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 21 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 quality in this outcome area is adequate. Policies and procedures are in place, reviewed annually and are available to staff. General records are maintained to promote the health, safety and welfare of the residents. The home is yet to appoint an experienced, qualified manager who has been approved by the Commission for Social Care Inspection. Self-monitoring reviews are completed. EVIDENCE: Positive comments were obtained via discussion with staff member and a relative regarding the management of the home. The relative commented, “ My son is very happy there since Werner came and always wants to go back ‘Home’ when he stays with me. When I visit my son, the home is always clean and tidy especially since Werner has been in charge”. The home is yet to appoint a manager who has been approved by the Commission. Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 22 Safety contracts for services i.e. gas, are up to date. Portable appliance testing was taking place at the time of the visit. Fire alarms are tested weekly and drills take place. Records of these are maintained. Risk assessments are in place and kept up to date. A fire report made recommendations to install electronic smoke detectors in August 2005. This is included within the requirements of this report. Accident records are maintained and CSCI are notified of serious incidents. Meetings are held regularly for staff and residents to voice their opinions Policies and procedures are in place and annually reviewed. Relatives are encouraged to discuss the service provided via surveys, reviews and regular contact by phone. A company representative to monitor the progress of the home conducts monthly visits. These are forwarded to CSCI for information. Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 23 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 X 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 2 29 N/A 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 24 Yes Are there any outstanding requirements from the last inspection? Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 25 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 YA24 Regulation 23 Requirement The responsible person shall ensure that repairs and decoration is made throughout to improve the standard provided, these include - repair rear garden wall surface, decoration of staff bathroom, fit radiator covers throughout, new carpets in lounges, replace window in ‘drying area’ for ventilation, and decorate landing, kitchen and one residents bedroom. Fit front garden gate. (Outstanding from the last inspection). Identified at this inspection – new flooring required in kitchen, decorate resident’s bathroom. Timescale for action 31/08/06 2. YA37 9 The responsible person shall 31/08/06 appoint a manager who has been approved by the Commission for Social Care Inspection. (Outstanding from the last inspection). The responsible person shall carry out the recommendations made in the recent fire report. (Outstanding from the last inspection). 31/08/06 3. YA42 23 Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 26 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 YA12 Good Practice Recommendations The residents would benefit from the purchase of a computer for their own use. The present manager should obtain an NVQ qualification. The residents should be provided with a short holiday break. 2 3 YA37 YA12 Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Arbour Street, 53 DS0000005233.V291145.R01.S.doc Version 5.1 Page 28 - 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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