Inspection on 14/03/07 for Ash Street, 23

This inspection was carried out on 14th March 2007.

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

Ash Street, 23 22/02/06

Ash Street, 23 08/12/05

Ash Street, 23 09/06/04

Ash Street, 23 23/03/04

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 Ash Street, 23 23 Ash Street Southport Merseyside PR8 6JE Lead Inspector Elaine Stoddart Key Unannounced Inspection 14th March 2007 01.30p Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ash Street, 23 Address 23 Ash Street Southport Merseyside PR8 6JE 01704 501470 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 Greta Morphet Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 4 LD One named service user under 19 years of age Date of last inspection 22nd February 2006 Brief Description of the Service: 23 Ash St is a three -storey property, located near central Southport, on a busy residential street. The home provides care & accommodation for up to four young adults with Learning Disabilities. All four residents must attend Arden College as this home is linked to college placement. Speciality Care Limited owns the home, which is a subsidiary company of Craegmoor Healthcare. The Registered Manager is Greta Morphet and the home manager is Mr Alan Fish. The house has four bedrooms, a lounge, a dining area and a bathroom. The home is close to the college, local shops/leisure facilities, sports facilities, entertainment and restaurants. Local transport is good and buses access Southport centre, Lancashire & Liverpool. Trains are available reasonably nearby. Parking is available on the street outside the home. The weekly cost for the service is from £700.00 - £1000. 00 per week. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day. A full tour of the home was conducted and care records and other home records were viewed. Discussion took place with the registered manager, home manager, two relatives, one of the care staff and two of the three residents during the inspection. The home has one vacancy and there are no occupants under eighteen years at present. During the inspection two residents were 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 the other resident who was observed during the inspection process but did not wish to speak to the inspector. All the key standards were inspected and also previous requirements from the last inspection in December 2005. Satisfaction survey forms “Have Your Say About …” were distributed to the residents prior to the inspection. Comments included in the report were obtained during the site visit. The three residents accommodated did not wish to complete their survey forms and chose to discuss the service provided with the inspector during the site visit. What the service does well: The service provides a successful and meaningful education to students. They operate a “24 hr” curriculum and everything the students do provides a learning experience. Students attend college daily for educational studies and the activities provided during the evening and at weekends are also part of their learning and development process. These include cooking, cleaning, travel; budgeting, sharing, group living, accessing the community. The students are able to access work placements and engage in the Duke of Edinburgh Award scheme. One student has achieved his silver award and is progressing to his gold. The home provides a pleasant, homely environment for the students to live. The students and relatives spoken with confirmed their satisfaction with the home and commented: “Best place I have been to”. (Student). “The food is very good”. (Student). “We are very happy with the home”. (Relative). All three students accommodated have their own rooms, which contain personal possessions of their choice. The home manager confirmed that dayto-day maintenance is conducted quickly, however the larger maintenance work can take sometime, as approval has to be sought from head office. Two computers are available for the students use with Internet access for college work. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 6 A small core group of five regular staff are responsible for the care and support of the students. Two staff cover duty daytime and one sleep in for nighttime 10.00pm until 7.00am. The two staff on duty day time allows the students to access activities individually and not always as a group as the students have different interests. The students provided positive comments on the care and support provided. “I get on with all of them. They give us our privacy. They are very friendly”. (Student). “I get on with all the staff and would tell Alan (Home manager) if I wasn’t happy”. Student). 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. The summary of this inspection report can be made available in other formats on request. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 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 Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 1,2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service carries assessments of the students, which identifies their needs and plans to meet those needs. Prospective students have the information they need to make a choice of where to live. EVIDENCE: Since the last inspection new students have been admitted. Care files of two students were viewed. Full assessments of need are completed prior to admission and include medical details, pen portraits, communication needs, risk assessments, hobbies and interests. Individual care and educational programmes show the assessed needs of the students both within the home and their college programme. These are obtained in consultation with the social worker from placing authorities and the families. The baseline assessment forms the basis of their plan of care. The home has a red ‘working’ file and ‘green’ assessment file in place for each student resident. A ‘Welcome to Arden College’ is provided to each student prior to admission and outlines ‘as a student you will be able to take part in activities, such as disco and horse riding’. A statement of Purpose is displayed, which states that ‘hobbies with be facilitated, however an extra charge maybe required’. Student contracts were not available to view as they are stored centrally. A copy of the purchase agreements with placing authorities was viewed. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service supports students through their Individual Programme plans to develop skills and strengths in areas they need support in. Students are supported to take risks by being assessed individually. EVIDENCE: The Individual Programme plans for the two student’s case tracked recorded a plan for all staff and the student to follow in the areas of education, daily living skills, personal care, socialising, work placements, communicating and leisure interests. Records showed reviews take place with the involvement of the students, tutors, home manager and other professionals. The placing authority conducts reviews annually and the home manager reviews care files during term times or before if needs change. One student is moving on to a further placement and ‘transitional meetings’ are taking place to plan the Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 10 departure. The care plan is generated from the assessment and covers all aspects of health and personal care, social support and educational needs. Essential skills targets are set for each student and are reviewed regularly. A personal tutor is available weekly to provide tutorials with each student to monitor progress. A key worker system is in place and students are aware of who their key worker is. Risk assessments are in place and kept up to date through the reviewing process. The students are supported to take risks as part of their independent lifestyle. Two of the three students accommodated access the community independently. Discussion with the registered manager, home manager and staff confirmed that a recent directive from head office had been made on 6/3/07 regarding changes in the policy on restraint. The directive issued ‘no restraint measures to be made under any circumstances’. Staff confirmed that no new protocol was in place since the changes in this procedure. The service must address this issue to ensure that all staff providing the care and support are aware of the new procedures. The students are encouraged to make decisions about their lives where possible. Communication aids, such as pictures are used to encourage student participation. The students make decisions through weekly tutorials when they discuss their educational programmes with their tutors, via residents meetings and 1 –1 sessions with their key workers. The students are encouraged to make decisions on the daily routines. The students’ progress is closely monitored, as daily targets are set, which involve both short and long-term goals. These include areas of communication and behaviour and records are kept daily by staff of what they have achieved in their essential skills and needs record. Individual care plans outline individual student needs, likes, dislikes and how they communicate. During the inspection it was found that the housekeeping budget had been cut to £60.00 on 19/1/07. Prior to this the housekeeping budget was £84.00 per week, which included £5.00 for cleaning materials. Staff confirmed that all cleaning materials are now ordered through the Arden office were a central store is available for items such as, washing powder and toilet rolls. Discussion with the home manager and the staff on duty, confirmed that this causes difficulties as the home is limited to 12 toilet rolls per week and one bottle of washing up liquid. Any additions to this have to be requested from the central office and picked up by the staff. Both the manager and staff raised their concerns regarding this new system as the home accommodates three young students, two staff per day and is used for tutorial and D of E sessions at least twice weekly were up to twelve other people may be in the home. This has resulted in the staff having to purchase items, as the college is not always accessible, especially at weekends. Staff spoken with also raised their concerns regarding the reduction in the food budget as this limits the quality of food they are able to purchase and now Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 11 have to shop for ‘cheaper’ products, which results in a lower quality of food provided to the students. The staff confirmed their commitment to providing a wholesome, varied and healthy diet to the students, however they commented that student ‘choice’ has been reduced. “We can’t have Horlicks”. “We can’t afford to buy as much fresh meat for a roast. It has to be for a special occasion”. “We are down to basic food”. The staff spoken with said, “The staff are careful and are trying to improvise”. The household budget for food presently caters for three students, two staff on duty per day, which is sixteen staff per week. The present meal allowance calculated by the home manager is 00.57p per meal. The students are provided with a main meal, five days a week while at college. All other meals are provided at the home. Menus were viewed for the week and included a variety of meals – sausage, mash and beans (Mon), lasagne (pre made) (Tues), home made soup (Wed), Chilli (tinned) (Thurs), Pizza/salad (Fri), pasta bake (Sat) and Roast chicken (Sun). The home manager confirmed that that food is purchased daily and regularly budgeted to ensure sufficient monies are available to cover the meals for the students and staff when he is not on shift. One student at the home is on a healthy eating plan, which has successfully changed his eating habits and resulted in weight loss. As part of the students’ educational programme the students are encouraged to be involved in the purchasing and preparation of the food. The students spoken were both aware of the budget cuts and provided the following comments on the meals: “The food is very good, very nice. We have the same stuff but have to go to Lidl not Tesco”. “I like all the food”. Relatives spoken with confirmed their awareness of the budget cuts and commented: “The food is always good. Our son is a growing lad. He has been home a lot more at weekends as he says there is not as much going on as there used to be”. They added that any concerns they have would be raised with the registered manager. The students’ educational programme includes taking part in activities within the college. These include – sport/recreation, D of E Award, snooker, golf and bowling. The staff at the home support in the students to take part activities out of college hours. Since the last inspection staff, students and relatives spoken with confirmed the activity budget had been cut and therefore all activities that the students take part in out of college are to be funded by themselves. Staff confirmed that prior to the 19/1/07 all activities were Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 12 planned for the week and an application for funding was made through the college office. Activities would include – swimming, DVD rental, cinema and trips out. Since the budget cuts staff confirmed that the students to have to fund activities themselves and they have had to change the programme to accommodate this. Students spend their free time on activities, such as visiting friends in other establishments, disco, parks, and having visitors to the home. The staff feel that this limits student choice, as they often do not have the money to pay for activities they have previously had access to. Students spoken with commented: “We used to have an activity budget but now if I want to go to the cinema, I have to pay for it myself”. “I will just stay in and play on the computer. I am not bothered if I don’t go out”. Relatives spoken with said they feel this could have resulted in their son coming home for visits more often as he told them, “There is nothing going on”. No changes have been made to the statement of purpose to confirm the changes as it does not specify which activities are included and states ‘hobbies with be facilitated, however an extra charge maybe required’. All students’ financial transactions are recorded and receipts obtained. The students, where possible, are encouraged to manage their own personal finances and their families/guardians handle their saving accounts. Two of the three students accommodated manage their own finances; have bank accounts and lockable facility. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service enables students to be involved in every day experiences and opportunities. The service supports students in learning and developing toward independence at their level. Family support and contact is encouraged. Meal times are flexible and involve the students in the planning and preparation. EVIDENCE: An individual educational and activity programme is in place for each student, which includes community involvement and use of the local facilities based on their assessed needs and interests. Students have the opportunity to discuss their activity, daily living and education programmes during weekly tutorials, residents meetings and key worker sessions. All three students are able to communicate and have their say. During the visit two students were spoken with and one student declined to speak to the inspector. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 14 Viewing of two students’ records, assessments, care plans, risk assessments and activity and educational programmes confirmed that the students are provided with the opportunities for personal development. The students are able to develop social contacts via college, community activities and trips out with other units. Their college programme includes: swimming, golf, football, snooker and D of E Award. One student has achieved his silver award and is now taking his gold. He was attending his presentation of the evening of the inspection and both his parents attended and expressed that they are ‘very proud’. The students are also involved with a variety of work placements, which include working at Tesco, gardening and cancer research. The students and home manager confirmed that they have a good relationship with the work place coordinator. The students are encouraged to develop independent living skills and two of the three students catch the train independently and visit their friends. Since 19/1/07 the activity budget for after college activities has been cut and students now have to fund these. This can restrict the students from taking part in the activities of their choice, as they may not be able to fund them independently. Evening activities used to include cinema, pub meals and bowling. The home manager confirmed that the activity programme has been changed to accommodate this and provide less expensive options such as, visiting other homes, walking, games nights and cinema (if paid by the students). Students, families and staff spoken with provided the following comments regarding the activities they take part in: “We used to have an activity budget but now if I want to go to the cinema, I have to pay for it myself”. (Student) “I will just stay in and play on the computer. I am not bothered if I don’t go out”. (Student) Relatives spoken with said they feel this could have resulted in their son coming home for visits more often as he told them, “There is nothing going on”. Staff spoken with confirmed that there are sufficient staff on duty per shift to enable them to support the students to access activities of their choice. Two staff are on duty per shift to support students to access their individual interests. One member of staff provides night support. The students are encouraged to maintain contact with their families via telephone and home visits. Two students go home regularly during term breaks. All family contacts are recorded. Relatives spoken with confirmed they are able to visit when they wish and had been invited for tea during their visit. “Alan, the home manager contacts us regularly”. The students are encouraged to be involved in the daily routines and take part in tasks, such as food preparation and shopping, depending on their ability. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 15 The daily routines are flexible to the needs of the students, however as they all attend college daily they have to be up for breakfast served 7.30 – 9.00am. The students are able to choose when they go to bed. Weekends are more relaxed and breakfast is available from 7.30 – 10.30am. The recent cut in the food budget has resulted in changes in the homes menu and where and what they purchase. The students spoken with commented about the food provided. “The food is very good, very nice. We have the same stuff but have to go to Lidl not Tesco”. “I like all the food”. The students were observed to enjoy their evening meal of ‘home made soup’ with visiting relatives in a relaxed, comfortable manner at the time of the visit. Two students were preparing to go to the disco for the evening, while another was to attend his D of E presentation night. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students receive personal support needed in a way they prefer. Medicine is stored and administered appropriately. EVIDENCE: Assessment of need, care and regular reviews seen help the staff to know and understand the individual needs of each student and enables personal support to be given in the appropriate way. The students are independent in their personal care needs and require minimum staff support. The staff on duty were observed to interact well with the students and encouraged them to communicate effectively to express their wishes. The students choose their own clothes and hairstyles. One student attended the hairdresser during the inspection to have his hair cut for his presentation evening. The students are provided with access to health care services and these include: GP, dentist, optician, community nurse and a speech therapist. All visits are recorded. Hospital appointments are provided when required; with Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 17 staff support were necessary and viewing of students files evidenced appointments. There are medication policies and procedures in place and medication is securely stored. Records viewed showed the medication prescribed and all medication is recorded on the Medication Administration Record (MAR). Discussion with the home manager confirmed that sample signatures are to be put in place for the staff responsible. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. . Policies and procedures are in place for complaints, finances and abuse. Staff receive training in abuse awareness. Staff are recruited using the correct procedure to ensure safety of the residents. Financial policies and procedures are in place and students are encouraged to manage their finances were possible. EVIDENCE: Staff interviewed demonstrated that they are aware the abuse procedures and the action to take to protect the students. Records showed that staff have received training in abuse awareness. Finance policies and procedures are followed by the staff who record all transactions made and obtain receipts. Students are encouraged to control their own finances were possible. Two of the three students accommodated manage their own finances; have bank accounts and lockable facility. A complaints policy and procedure is in place and displayed in the home. The students have regular meetings, tutorial sessions and regular family contact to discuss any areas of concern they may have. There have been no complaints recorded since the last inspection. Staff files viewed showed staff are recruited through the correct recruitment and selection procedures. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24,25,26,27,28,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. General internal and external work is required to the premises to ensure is it well maintained and safe for the students. Student’s bedrooms contain personal possessions and equipment to promote their independence. Sufficient toilets and bathing facilities are provided. The home is clean and hygienic. EVIDENCE: All rooms were viewed and were comfortably furnished and clean. Some improvements are required to ensure the home is maintained to a reasonable standard and provide a safe place for the students to live. These are addressed in the section ‘What they could do better’ and contained in the requirements and recommendations of this report. A new kitchen must be fitted to ensure the health and safety of the staff and students. A purchase order for this was seen and the date for fitting is yet to be confirmed. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 20 The French window in the lounge is rotted and needs replacing and landing wall needs repair to large hole. Redecoration is recommended in staff bathroom, vacant student room and ground floor students’ room. A new wardrobe is needed in the spare room to replace the broken one. The home manager confirmed that new carpets have been approved for the lounge and landing areas, a new suite has been ordered, porch tiling to be completed and the broken fencing in the garden is to be replaced. The monthly monitoring visit report was viewed and included the request for a fire door to be fitted on the kitchen/hallway. Radiator covers are not in place throughout and risk assessments must be provided were covers are not fitted. All students have their own rooms, which contain their own personal possessions. Communal areas are comfortable and spacious and equipped with TV, DVD and computers. There are sufficient toilet facilities in place. Policies and procedures are available for infection control. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,33,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. . Recruitment and selection procedures support and protect the students’ resident. A training programme is in place to ensure the staff are trained to meet the needs of the students. Sufficient staffing levels are in place to support the students. EVIDENCE: Staff files viewed demonstrated that staff are recruited following the completion of a CRB (criminal record bureau check) and two written references. A full induction process is in place and staff have terms and conditions of employment. Staff meetings are held regularly and recorded. A training programme is in place and training records were viewed during the inspection and confirmed that statutory training is provided and is ongoing in areas such as, manual handling, health and safety, fire training. Staff should be encouraged and supported to take qualifications in NVQ (national vocational qualifications) to obtain the standard of at least 50 qualified. This should include the manager who conformed he is yet to take this qualification. Duty rotas viewed and staff interviewed confirmed that two staff are on duty (day time) and one sleep in provision. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 22 Staff spoken to were very positive about the support and supervision in place and commented: “We get on very well and work together”. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39,40,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. . Self – monitoring systems are in place to monitor the home’s progress. The home is well run and the registered manager is qualified and experienced. EVIDENCE: The registered manager is experienced and qualified and supports the home manager, who deals with the day-to-day running of the home. The home manager demonstrated a positive approach to ensuring the needs of the students are met and was seen to interact well with staff and students. The home is organised and well run. Staff interviewed provided positive comments on the home managers support and guidance. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 24 “We all support each other”. Records viewed and staff and students spoken to confirm that the home is organised and staff and students are supported and supervised. Selfmonitoring systems are in place in various formats and include surveying the students and their families for feedback on the service provided. The registered manager to assess the service provided and address any issues, conducts regulation 26 visits monthly. The home manager is in regular contact with the families’ of the students and acts on their comments made. Students have the opportunity to express their views during tutorials, reviews and student meetings, which are regularly held and recorded. Regular staff meetings take place and staff spoken to and records viewed confirmed this. Policies and procedures are in place, available to staff and reviewed annually. The protocol on ‘no restraint’ should be updated as referred to in the health and personal care section. The pre inspection questionnaire provided by the home manager demonstrated that the home has up to date certificates for all services, such as gas, electricity. Fire records showed that fire alarm tests are conducted weekly, fire drills and emergency lighting are done monthly. The home manager confirmed he has completed a fire risk assessment of the building and will forward a copy to the Commission. Fire training is provided for all staff on induction and an up to date list is in place for all staff who have completed fire training. Weekly checks of the water temperatures are recorded. All accidents and injuries are recorded for both staff and students. Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 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 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 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 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 3 X 3 X Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 26 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 YA24 Regulation 16 Requirement The kitchen units must be replaced. (Outstanding from the last inspection. Time scale not met 21/07/06). The following repairs and improvements are required to improve the standards of the students accommodation – decoration of two student rooms, repair hole in landing wall, replace broken wardrobe in spare room, replace rotten window in lounge and tile front entrance floor. Radiator covers must be provided/or risk assessments. Timescale for action 30/06/07 2. YA24 23 31/08/07 3. YA24 23 30/06/07 Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 27 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. 3. 4. 5. Refer to Standard YA14 Good Practice Recommendations Students should be encouraged to access a range of leisure facilities and not be restricted by financial budget cuts. NVQ qualification should be encouraged to provide the staff with the skills to carry out their roles and meet the National Minimum Standard required. The policy and procedure for ‘no restraint’ should be up dated and clear lines of direction provided for staff. The statement of purpose should clearly outline the fees charged, what they cover and the cost of extras. Sufficient supplies of toilet rolls, cleaning and washing materials should be available to meet the needs of the students resident. YA32 YA40 YA1 YA24 Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Ash Street, 23 DS0000005230.V319171.R01.S.doc Version 5.2 Page 29 - 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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