Inspection on 23/02/06 for Atkinson Grove Respite Bungalow

This inspection was carried out on 23rd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Atkinson Grove Respite Bungalow 30/04/07

Atkinson Grove Respite Bungalow 05/07/06

Atkinson Grove Respite Bungalow 13/09/05

Atkinson Grove Respite Bungalow 03/11/04

Atkinson Grove Respite Bungalow 11/06/04

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 Atkinson Grove Respite Bungalow 3 Atkinson Grove Huyton Knowsley Merseyside L36 7RS Lead Inspector Miss Diane Sharrock Unannounced Inspection 23rd February 2006 10:30 Atkinson Grove Respite Bungalow DS0000037680.V284927.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 Atkinson Grove Respite Bungalow DS0000037680.V284927.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. Atkinson Grove Respite Bungalow DS0000037680.V284927.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Atkinson Grove Respite Bungalow Address 3 Atkinson Grove Huyton Knowsley Merseyside L36 7RS 0151 480 5673 0151 480 5673 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) Knowsley MBC - Health & Social Care Headquarters Judith Bailey Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3) of places Atkinson Grove Respite Bungalow DS0000037680.V284927.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Service users to include up to 3 YA with LD or up to 3LD (E) To have a minimum of 1 waking night staff each night. To have a temporary variation for two named Service Users requiring Nursing Care To have a temporary variation to admit a fourth Service user in the sleep in bedroom until 31st July 2005 The service should employ a suitably qualified and experienced Manager who is registered with the CSCI 13th September 2005 Date of last inspection Brief Description of the Service: Atkinson Grove is owned and managed by Knowsley Social Services. The Responsible Individual is Mrs Anita Marsland. Knowsley Social Services have appointed a Manager Judith Bailey who has worked at the unit for many years. The home is a purpose built bungalow with three single bedrooms, The unit offers respite facilities to Service Users living in the Huyton, Halewood, Knowsley and Kirby areas. The service offers personal care in a residential setting and staff access the local District Nursing team to provide any additional Nursing/ clinical procedure. At present two Service Users bring their own Nursing staff during their stay at the Bungalow and the District Nurse provides input for other Clinical needs. A previous variation had been approved for the registered beds to be increased to 4 as a temporary measure only for one named Service User up to the 31st July 2005. An application to extend this variation has now been submitted and is awaiting processing. Atkinson Grove Respite Bungalow DS0000037680.V284927.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection at Atkinson Grove. The inspector met three Guests residing at the Bungalow and the staff on duty. A sample of the care standards were seen at this inspection however the CSCI advised the company to carry out their own audit covering all national minimum standards. A selection of comment cards were also left and written feedback was given to senior representatives of the company. What the service does well: What has improved since the last inspection? What they could do better: The Bungalow was noted to be have various standards and requirements some still outstanding from the last inspection in September 2005. The issue for requirements needed addressing by the area Manager. 1) 2) 3) 4) 5) 6) Care records for Guests should be reviewed, measured against the NMS standards and be updated as a matter of priority, including risk assessments, activity records and finance records. One staff member had no evidence of a POVA or CRB check being back prior to starting at the Bungalow. One resident’s bedroom needed an appropriate risk assessment and suitable bedroom facilities to evidence a better living standard. Supervision should be carried as per the National Minimum Standards for all staff. The statement of purpose must be accessible to all parties, staff and Guests. Activities should be revised, presently there are no activity plans and only group activities are offered. Atkinson Grove Respite Bungalow DS0000037680.V284927.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Atkinson Grove Respite Bungalow DS0000037680.V284927.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 Atkinson Grove Respite Bungalow DS0000037680.V284927.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): X These standards were not measured at this inspection. EVIDENCE: Atkinson Grove Respite Bungalow DS0000037680.V284927.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 A review of personal support should take place so that Guests’ personal choices are not restricted and risks should be appropriately documented and agreed. There continues to be progress made in the care records, however they still do not meet all parts of the National Minimum Standards. EVIDENCE: Some care plans were case tracked and some had plans of care available however one did not have necessary plans on site. The development of Essential Lifestyle Plans show a very gradual approach to identifying each person’s likes and dislikes however they are not in place for everyone. One plan was noted to be in need of immediate update, including identifying an appropriate plan to manage risks safely and to enable all parties to be aware, clear and knowledgeable of risk. The companies’ own documents for finances, menu plans and activity plans were found to not be complete or used for sometime. Signatures from Guests were not seen on any care plan record, this should be developed to demonstrate Guests are aware and in agreement. Atkinson Grove Respite Bungalow DS0000037680.V284927.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): 14,15 & 17 Individual activities are not implemented at present, activity plans were not completed. Family members are kept informed and involved with regular contact. Menu plans had not been completed but Guests chose their menu of food for the week. EVIDENCE: Staff were observed to have a good rapport with Guests and were observed to assist Guests in various choices. The company have developed activity plans that enable activities to be planned with Guests each week. However during this visit the plan had not been completed and staff could not find any completed since September 2005. Guests did describe verbally what they were doing during their stay and stated they were having a good time. The care records cannot demonstrate individual support to Guests for activities and should be developed and agreed with Guests. The company have developed menu plans that enable menus to be planned with Guests each week. Again this hadn’t been completed, however Guests Atkinson Grove Respite Bungalow DS0000037680.V284927.R01.S.doc Version 5.1 Page 11 described what they planned to eat and that they were asked to go shopping for their meals that week. Atkinson Grove Respite Bungalow DS0000037680.V284927.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): 18 The use of Essential Lifestyle Plans has helped identify individual choices, however these are not in place for everyone. EVIDENCE: Plans should be in place for all Guests as a matter of priority as they have been in the process of being developed for sometime. The Bungalow has new Guests each week, which highlights a need for staff to have up-to-date, accurate information accessible on site, which enables them to support individuals. Guests staying that week explained they were having a good time and were looking forward to going to the pictures that evening. Atkinson Grove Respite Bungalow DS0000037680.V284927.R01.S.doc Version 5.1 Page 13 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 Staff have ongoing training to protect Guests. The management of Guests finances should be reviewed. EVIDENCE: Staff have been receiving training on ‘abuse awareness’ however training records were not all accessible. This training must be classed as mandatory training to enable staff to continue protecting Guests. The company have developed individual personal financial booklets for each Guest, however it was noted that some had not been completed for sometime. The management of Guests finances and support must be reviewed to ensure the policy / guidance carried out is consistent for all Guests. Atkinson Grove Respite Bungalow DS0000037680.V284927.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25 & 30 The Bungalow looked comfortable, homely, tidy and clean. One bedroom was in need of refurbishment and risk assessment. EVIDENCE: During most visits to the Bungalow the environment is always noted to be clean and tidy. There are on-going maintenance issues and a maintenance programme should be developed. One bedroom was noted to be of a poor standard, holes seen to plaster on walls, curtains coming off their track, minimal refurbishment. Senior representatives attended the Bungalow and agreed to a complete review of the room so that action would be taken to provide the Guest with a safe, comfortable and appropriate living facility to a good standard. Some areas of damage indicated an update was needed to the risk assessment so appropriate action could be taken to reduce risks to Guests. Atkinson Grove Respite Bungalow DS0000037680.V284927.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34 & 36 Senior support and skill mix should be considered for a daily duty rota, as some staff had not worked at the home for very long. Personnel files were not seen at this inspection however one staff member was found to not have appropriate standard checks in place. Supervision sessions must be developed for all staff. EVIDENCE: During this inspection staff explained they had not worked at the Bungalow for a long time and the second person was booked regularly from an agency. The management of the duty rota should ensure that the Bungalow and Guests have appropriate senior support and skill mix to oversee the management of their stay. One staff member was noted to have commenced working at the home prior to any police or POVA checks being in place. It is the responsibility of the Manager and Responsible Individual to ensure that all staff working at the home have all necessary checks, with records stored as listed in schedule 2 of the Care Homes Regulations 2001. The Manager and responsible Individual must demonstrate that these records have the necessary information as required by the Care Homes Regulations 2001 and National Minimum Standards. Atkinson Grove Respite Bungalow DS0000037680.V284927.R01.S.doc Version 5.1 Page 16 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 The Bungalow has a Registered Manager, support and developments should be given to enable the home to achieve all parts of the National Minimum Standards. Risk assessments must be up to date, clear and accurate to identity actions to reduce risks. EVIDENCE: The Bungalow has a good philosophy and currently due to emergency issues has 4 Guests, which has had some effect on the ongoing facilities. The home has not always been able to demonstrate it meets the National Minimum Standards during inspections. This was discussed during this inspection with senior representatives of the company. A full audit should take place identifying what actions, support and resources are needed to support the Manager to meet he National Minimum Standards and Care Homes Regulation 2001. An example of identified risks was clearly seen in one bedroom, however the risk assessments needed to identity appropriate action were not in place. This was just one example of why more support was needed in managing the Atkinson Grove Respite Bungalow DS0000037680.V284927.R01.S.doc Version 5.1 Page 17 Bungalow to achieve all parts of National Minimum Standards and to improve the living conditions for one Guest residing at the Bungalow. Atkinson Grove Respite Bungalow DS0000037680.V284927.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 3 25 1 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 2 34 1 35 X 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X X 2 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 2 15 3 16 X 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 X X X 1 X X X X 1 X Atkinson Grove Respite Bungalow DS0000037680.V284927.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. Standard YA34 Regulation 19 Requirement The Responsible Individual must provide an updated list of all staff declaring what records are in place regarding Schedule 2 of the care home regulations 2001as kept stored at central personnel and take action to ensure they are in line with regulations. This is a previous inspection requirement 2. YA1 4&6 The Responsible Person must provide an updated and accurate Statement of Purpose so that all parts of this regulation will be met. This is a previous inspection requirement. The Responsible Person must provide suitable facilities to all Guests admitted to the home and provide suitable furnishing, décor and coverings to bedroom windows to promote a person’s dignity and privacy. This is a previous inspection requirement. Atkinson Grove Respite Bungalow DS0000037680.V284927.R01.S.doc Version 5.1 Page 20 Timescale for action 07/06/06 07/06/06 3. YA40 12 (4)(a) 16 (2) (c) 07/06/06 4. YA6 15 (1) (2) For the Responsible Individual To 07/06/06 review the care of one Guest, as discussed on inspection and detailed in this report, including updated risk assessments. To arrange immediate reviews with their appropriate care Managers and inform the CSCI of any outcomes. Updated records of this must be submitted to the CSCI. This is a previous inspection requirement. 5. YA19 15(1)(2) (b) The Responsible Person is 07/06/06 required to provide evidence that all Service Users will be provided with a detailed, accurate and appropriate care plan according to their needs. Please submit an action plan to the CSCI detailing what actions will be taken to meet this regulation. This is a previous inspection requirement. 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 YA35 Good Practice Recommendations To provide evidence of 5 days paid training for all members of staff and ensure all training records are up to date and recorded appropriately meeting all staffs needs. This is a previous inspection recommendation To identify and develop managerial hours for the present managerial role. This is a previous inspection recommendation. Atkinson Grove Respite Bungalow DS0000037680.V284927.R01.S.doc Version 5.1 Page 21 2. YA42 3. YA30 To provide an updated written maintenance, decorating & refurbishment programme so that effective consultation and information can be provided for everyone. To develop ongoing and regular minuted staff and Guest meetings and develop areas of open discussions with all parties to keep them informed of all matters within the Bungalow. This is a previous inspection recommendation. 4. YA36 To continue with ongoing Staff meetings and develop the implementation of supervision as per this standard. This is a previous inspection recommendation 5. 6. YA37 YA37 To review staffing rotas and ensure senior support and responsibilities are identified in managing the home daily. The company should carry out internal audits to identify what actions support and resources are needed to evidence that National Minimum Standards will be met. To review current planning of activities and develop procedures to evidence individual needs and requests are being met. 7. YA14 Atkinson Grove Respite Bungalow DS0000037680.V284927.R01.S.doc Version 5.1 Page 22 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 Atkinson Grove Respite Bungalow DS0000037680.V284927.R01.S.doc Version 5.1 Page 23 - 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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