Inspection on 08/12/05 for Ash Street, 23

This inspection was carried out on 8th December 2005.

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 4 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 22/02/06

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 8th December 2005 3:30 Ash Street, 23 DS0000005230.V274972.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.V274972.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.V274972.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.V274972.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 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.V274972.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 first in the home’s required visits, which are 2 inspection visits per year. 1 student and 1 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 bedroom of the student(s) case tracked 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.V274972.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.V274972.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.V274972.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The Service carries out detailed and skilled assessments of students, which identifies their needs, and develops good plans to meet those assessed needs. EVIDENCE: The assessment of the student case tracked was examined in detail. An assessment from the placing authority & school was on file. A week’s stay in a college home prior to deciding to move to college was carried out and college & residential staff carried out a Baseline assessment during this time. This document formed the most up to date assessment & is the basis for the Individual Learning Plan. The student case tracked explained his ideas about the areas he needs help in. Some were the same as those written in his assessment, with some additional ideas that related more to the future, such as work experience. Staff spoken to knew a lot about all the students and their strengths and needs. Ash Street, 23 DS0000005230.V274972.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): 6&9 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 student’s case tracked recorded a plan for all staff and the student to follow in the areas of education (Studies/vocational training), cooking, personal care, socialising, gardening, assertiveness, communicating and leisure interests. The plan was up to date & reviewed 6 monthly. This student told the inspector “ Its good here. Getting on with the staff is the best thing about here. I’m doing horticulture at college and I really like it”. He demonstrated an understanding of how his Individual Plan helped him to learn and develop. The student had several risk assessments on file, relating to social, environmental and safety issues. These were up to date, appropriate & reviewed regularly. He said the group has a regular students meeting where they talk about lots of things; food, activities, events, staff and things they are annoyed or concerned about. He also said the staff calm him down when he’s upset. Ash Street, 23 DS0000005230.V274972.R01.S.doc Version 5.1 Page 10 Ash Street, 23 DS0000005230.V274972.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,15 & 17. 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. Students are involved with and happy with meals/menu provided. EVIDENCE: The student case tracked had weekly timetables that covered both college and home activities. These were examined and showed they have A wide range of experiences and learning opportunities such as Hairdressing, life skills, drama, catering, horticulture, basic skills, archery, 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. The student stated he really liked all the sessions he was involved in and the Support he gets from his personal tutor. He described several community facilities he enjoys with other students and Staff such as sports events, gym, pubs, shopping and he has recently been Ash Street, 23 DS0000005230.V274972.R01.S.doc Version 5.1 Page 12 To a rock concert. Daily records showed the family contact that is maintained. He said “ I go home to my family in the holidays (term break) and they call me here; I worry about them a lot but staff will call home for me and I talk to them to feel better”. Students decide together on the menu but can change choices where they wish. The menu was seen and is satisfactory. The student case tracked said meals were “nice”. Ash Street, 23 DS0000005230.V274972.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 20. Students receive personal support needed in a way they prefer. Medicine is stored and administered appropriately. EVIDENCE: The student case tracked said, “ I do PHSE (personal care/life skills) at college and learn about health”. This was supported within his individual plan, commenting upon progress in this area and guidance where support was needed. He has a GP in the area. Daily records seen were detailed in monitoring mood and well being of those case tracked. Doctor/Health appointments/visits were recorded in his file. Discreet references to personal care given were in the daily records and were the same as those written in his assessment. Staff spoken to were very aware of the support needed by all the students. The medication records & storage for the student case tracked was examined and found to be satisfactory. Ash Street, 23 DS0000005230.V274972.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): 22 Students feel able to voice their concerns. EVIDENCE: The student case tracked listed people he felt able to talk to if he were upset or concerned or frightened. He stated staff were great at listening to him when he was upset or worried. A pictorial version of the complaints procedure is on display in the home. The minutes of students meeting showed that general minor concerns were addressed openly and dealt with by staff & students. There have been no complaints direct to CSCI or the home since the last inspection. Ash Street, 23 DS0000005230.V274972.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): 30 The home is clean and hygienic internally. EVIDENCE: All areas of the home internally seen were found to be clean and hygienic on the day of the inspection. Students are fully involved in all household tasks as part of their educational progress, developing independence skills for use in the future. Rubbish & broken equipment stored at the rear of the property is a hazard and obstructive & must be removed. Ash Street, 23 DS0000005230.V274972.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): None of these standards were assessed at this inspection. EVIDENCE: None of these standards were assessed at this inspection. Ash Street, 23 DS0000005230.V274972.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): 37, 42. Student’s benefit from a well run home. The health & safety of students is not fully protected. EVIDENCE: Administration systems in the home are good and staffing is stable & accountable. Students are aware of the running of the home and the house rules. No up to date safety certificates were available for either the gas or electrical system. This must be addressed as urgency & certificates kept in the home available for inspection. The broken equipment/rubbish at the rear of the property is a hazard and obstructive and should be removed as an urgency. The hot water temperature at the sink in the downstairs toilet still exceeds safe temperatures. Even though this was identified in the last inspection report it has still not been remedied & remains a risk to staff & students. Ash Street, 23 DS0000005230.V274972.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 4 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 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 4 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X 3 X X X X 1 X Ash Street, 23 DS0000005230.V274972.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 3 4 Standard YA42 YA42 YA42 YA42 Regulation 16 16 16 16 Requirement The electrical system must have a valid safety certificate. The gas system must have a valid safety certificate. The rubbish at the rear of the property must be removed & disposed of. A thermostatic valve to control water temperature must be fitted to the downstairs toilet sink. Timescale for action 16/01/06 16/01/06 28/01/06 28/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ash Street, 23 DS0000005230.V274972.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.V274972.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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