Inspection on 22/02/06 for Ash Street, 23

This inspection was carried out on 22nd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ash Street, 23 14/03/07

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 Miss Orla Murphy Unannounced Inspection 22nd February 2006 4:00 Ash Street, 23 DS0000005230.V285526.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 Ash Street, 23 DS0000005230.V285526.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. Ash Street, 23 DS0000005230.V285526.R01.S.doc Version 5.1 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.V285526.R01.S.doc Version 5.1 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 08/12/06 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 4 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 4 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. Ash Street, 23 DS0000005230.V285526.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and neither residents nor staff knew the Inspector was coming. The last inspection report was examined and some requirements needed to be followed up on this visit. The Inspection was the second in the home’s required visits, which are 2 inspection visits per year. 2 students and 2 staff were spoken to at the inspection. One student was “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more students to get an idea of what is like to live there and how that person’s needs are being met. Case tracking also shows the inspector where needs aren’t being met. A variety of records (care plans, medical notes, complaints records, assessments, medication sheets, meeting minutes, menus, timetables, staff rotas and significant events) were examined. The bedrooms of the students and communal areas were also examined. What the service does well: The service provides a very successful & meaningful education to students. They operate a “24 hr” curriculum, which basically says that everything students do is a learning experience. Students attend college daily and learn, but activities in the evening and at weekends are also a learning experience, for example cooking, cleaning, travel, budgeting, sharing, group living, accessing the community. The service is also very good at giving young adults with learning disabilities good lifestyle opportunities and experiences and enabling independence, such as attending sports, clubs, pubs and restaurants. Many will have had only few experiences in these areas. Ash Street, 23 DS0000005230.V285526.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ash Street, 23 DS0000005230.V285526.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 Ash Street, 23 DS0000005230.V285526.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): These standards were met at the last inspection. EVIDENCE: These standards were met at the last inspection. Ash Street, 23 DS0000005230.V285526.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): 7 Students make some decisions about their own lives with support. EVIDENCE: The two students spoken to felt they make reasonable decisions daily regarding their lives with the support from staff and family. College has a student council where representatives from each house attend this forum, raising issues that they & other students wish to discuss. In addition, students meetings are held in the house regularly & the minutes of these reflected that students discuss various issues such as living together, house rules, menu, activities and concerns. Both students spoken to said they made decisions for themselves but there is an element of bullying currently in the home and this has an impact on students, their confidence & true personal decision making. Ash Street, 23 DS0000005230.V285526.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): 12, 16. Students are fully involved in appropriate activities of their choice. Rights and responsibilities are encouraged as part of student’s development but are not addressed in one current issue. EVIDENCE: The student case tracked had a weekly timetable that covered both College and home activities. This was examined and showed he has a wide range of experiences and learning opportunities such as life skills, drama, catering, horticulture, basic skills, communication and personal care. These sessions were recorded and were cross referenced with plans for sessions and evaluations for their personal targets. All these documents were seen and were up to date. This student did not speak to the inspector but tutorial records showed there was a level of improvement in skills and confidence. In addition, daily records and timetables were detailed and informative. These highlighted several community activities that are popular, including bowling, pub, cinema, theatre, disco, meals out, sports centres and shopping. Pictures of group events are on display. The students were going out to various activities on the evening of the inspection. Ash Street, 23 DS0000005230.V285526.R01.S.doc Version 5.1 Page 11 Responsibility is a key part of student’s individual plans. Those seen showed that student’s need to understand their learning goals and the responsibility these give them. The 2 students spoken to were fully aware of their responsibilities as students but were concerned about bullying that they were currently suffering. They feel, with some validity, that other students who bully them are not being made to be responsible. Upon joining college, students have behaviour agreements where they agree to abide by certain rules to help them address issues they may have and all students abide by an agreement (when they move in) that addresses areas such as bullying, group living, attendance record and behaviour. These are not being upheld or addressed and the bullying needs to be dealt with formally. Ash Street, 23 DS0000005230.V285526.R01.S.doc Version 5.1 Page 12 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): 19 & 20 Student’s health needs are met by the service. The potential for medication errors is strong which could put service users at risk. EVIDENCE: Students are registered with a local General Practitioner (GP) on starting college. Staff attend doctors appointments with students and records are kept which were seen and were satisfactory. Students spoken to said they are comfortable telling staff if they were ill or worried about something. An examination of the file showed that all health care appointments were recorded. Treatment received and the outcomes of the appointments were recorded satisfactorily. Medication administration records and storage was examined. Two service users take medication, which is determined by law to be a “controlled drug”. It is good practice to record these drugs in a register, however, as this home is a residential home, we would recommend that the service have a standard operation policy regarding why it is necessary to deviate from normal good practice, for example self medicates or staffing numbers. Ash Street, 23 DS0000005230.V285526.R01.S.doc Version 5.1 Page 13 A high stock of controlled drugs is being sent from home, some with no label or information sheet. This is not an acceptable or safe practice, drugs not labelled must be disposed of & not administered. Pharmacy advice is that the drug in question can be prescribed by the young persons GP. Ash Street, 23 DS0000005230.V285526.R01.S.doc Version 5.1 Page 14 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): 23 Arrangements are in place to protect residents from abuse, neglect and self harm. EVIDENCE: All staff have undergone Protection Of Vulnerable Adult (POVA) training and the home follows the local authority’s POVA procedure. Daily records are maintained noting observations in well-being & welfare. Staff spoken to are very committed to residents welfare and protecting residents where appropriate. However, there is a serious issue of bullying presently which is distressing and abusive. The Inspector observed incidences of this & spoke to two of the victims. The service is taking steps to address the issue and an action plan has been received following this inspection. Ash Street, 23 DS0000005230.V285526.R01.S.doc Version 5.1 Page 15 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 is mostly suited to its purpose but improvements are needed. EVIDENCE: The home is generally homely, comfortable and personalised by students. Furniture & fittings in communal areas is comfortable and attractive. The kitchen units need replacing as cupboards/drawers are, in stages, worn, broken and in disrepair. Ash Street, 23 DS0000005230.V285526.R01.S.doc Version 5.1 Page 16 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, & 35 A competent staff team supports students, but training records were not available for inspection. EVIDENCE: Staff were observed being supportive, respectful and professional with students. Students spoken to all stated that staff were helpful and they listened to them. Records were well completed and staff had kept Individual plans, reviews and targets up to date. Staff are aware of students individual needs and each students goals/targets. However, staff training records, of courses attended and planned training were not available for inspection as they have been previously. Copies of training attended and scheduled training must be held, available for inspection, in the home. Ash Street, 23 DS0000005230.V285526.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 Students have input into the day-to-day running of the home and give formal feedback annually. EVIDENCE: Students and relatives, to determine satisfaction with the service, complete annual questionnaires. These are collated and senior management within the organisation addresses issues; which was found to be satisfactory. Annual audits are also carried out. Ash Street, 23 DS0000005230.V285526.R01.S.doc Version 5.1 Page 18 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 X 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 X 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 2 X X X LIFESTYLES Standard No Score 11 X 12 4 13 X 14 X 15 X 16 2 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 2 2 X X X 3 X X X X Ash Street, 23 DS0000005230.V285526.R01.S.doc Version 5.1 Page 19 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 2 Standard YA24 YA42 Regulation 16 16 Requirement The kitchen units must be replaced. The rubbish at the rear of the property must be removed & disposed of. Timescale for action 21/07/06 21/04/06 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 20 Good Practice Recommendations That the provider has within their standard operation procedure in relation to the administration of controlled drug medication, a variance as to why the service would deviate from recommended good practice. Ash Street, 23 DS0000005230.V285526.R01.S.doc Version 5.1 Page 20 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 Ash Street, 23 DS0000005230.V285526.R01.S.doc Version 5.1 Page 21 - 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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