CARE HOME ADULTS 18-65
Bennett House 16 Bennett Road Crumpsall Manchester M8 5DX Lead Inspector
Steve O`Connor Unannounced Inspection 13th December 2005 15:00 Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 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 Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 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. Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Bennett House Address 16 Bennett Road Crumpsall Manchester M8 5DX 0161 795 4003 0161 721 4438 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) Alcohol and Drug Services Adele Caroline Rattenbury Care Home 16 Category(ies) of Past or present alcohol dependence (16) registration, with number of places Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: Bennett House is a residential care home providing care and therapeutic support for up to 16 alcohol dependent men. The Alcohol and Drug Service (ADS) manage the service, which is a registered charity. The home is situated in the Crumpsall area of Manchester, close to local amenities and public transport links. It is sited on a residential street and is of the same size and style as other houses surrounding it. It has a small car park to the front and a garden at the rear. Bennett House offers accommodation in 10 single bedrooms, 3 self contained flats and 2 bed-sits. The flats and bed-sits are designed to help people prepare for moving back to independent living in the community. Communal space is provided in the basement and on the ground floor along with kitchen and laundry facilities. Admission to the home is on the basis that people have already made a commitment to abstinence and a treatment programme including group work, one to one sessions and links with services within the community, is offered. Stays at the home are time limited, dependent on the needs of the individual and the funding made available. The home is not staffed in the evenings and at weekends (although an on call service is available) and therefore the philosophy of the home is based on people taking responsibility for themselves and for supporting others. Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 13th December 2005. During the inspection time was spent talking to a few of the people who live at the home, staff and people’s files, records and other relevant documentation were examined. Since the last inspection the CSCI has not received any complaints about the service. The previous inspection looked at the majority of the standards. As this inspection only looked at a very limited number of standards the report will be brief should be read together with the previous and any future reports to gain a full picture of how the home is meeting the needs of the people living there. What the service does well: What has improved since the last inspection? What they could do better:
The manager has responsibilities for the health and safety of people and staff within the home and so needs to have the information and training to be able to effectively carry out this role. This was raised at the last inspection report and must be addressed. Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 Page 6 During the inspection it was found that the staff spoken to had not undertaken specific Adult protection training. They had participated in Child Protection training but there are distinct differences in the training and in the referral process for child protection. From the previous inspection it was understood that this training was being arranged. The home must provide staff with this training within the timescales set. 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. Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 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 Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 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): EVIDENCE: These standards were assessed during the previous inspection. Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 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): EVIDENCE: These standards were assessed during the previous inspection. Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 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): 17 People are offered a healthy and balanced diet that they enjoy. EVIDENCE: The home employed a full-time cook who provided meals during the week. At all other times people had responsibility for preparing and cooking their own meals. There was a planned four week menu for both mid-week and weekend meals. People met with the cook once a month to decide the menu and to make suggestions. As long as the cook received enough notice then different choices were available. There was also a separate list of choices that people could choose from if they did not like the main meal The fresh, dry and frozen food stores were adequate and were available to the people at all times. Details of people’s dietary needs were recorded in their Individual Plan. The remaining core standards were assessed during the previous inspection. Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 Page 11 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): EVIDENCE: The recommendation that medication administering be recorded on a clear, separate format had been addressed. The pharmacist will be providing preprinted MAR sheets for recording purposes. The remaining core standards were assessed during the previous inspection. Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 Page 12 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 The home does not have all the systems in place to fully protect people. EVIDENCE: It was seen at the previous inspection that the home had an Adult Protection and ‘Whistleblowing’ policy and had signed up to the Manchester Multi-Agency Adult Protection Policy. The new POVA guidelines had been incorporated into the home’s recruitment and disciplinary and grievance policies. It was understood, from previous inspections, that adult protection training was being organised. The staff spoken to said that they had not participated in adult protection training. Adult Protection training must be provided for all staff at the home. Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 Page 13 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): EVIDENCE: The core standards were assessed during the previous inspection. Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 Page 14 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 Staff have the competency and skills to support people’s needs. EVIDENCE: It was previously recommended that a system be developed that highlights the need for staff training to be updated/refreshed. Although a system had not been developed the staff training records had been checked and it was identified that training such as emergency first aid and other specialised training/therapy skills needed updating. The home provides a specialised alcohol therapeutic service. The minimum qualifications required by project workers are either a Diploma in Social Work, in Counselling or a Registered Mental Health nurse. The inspector was told that the current minimum qualification of staff was equivalent to NVQ level 3. Due to the nature of the support provided by the service the requirement for the staff team to obtain the NVQ level 2 in care was not appropriate. Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 Page 15 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): EVIDENCE: It was unclear whether the manager had been provided with training and guidance in relation to their role and responsibilities under health and safety legislation and regulations. The requirement was reiterated. The remaining core standards were assessed during the previous inspection. Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Bennett House Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000021604.V273025.R01.S.doc Version 5.0 Page 17 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 YA23 Regulation 13 Requirement Adult Protection training must be provided for all staff at the home. Evidence that adult protection training has been arranged must be provided to the CSCI by the timescale set. The manager must be provided with the required training for them to undertake their health and safety responsibilities. (The previous timescale of the 01.11.05 was not met). Evidence that the relevant training has been arranged must be provided to the CSCI by the timescale set. Timescale for action 01/01/06 2. YA37 9 01/01/06 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 Bennett House DS0000021604.V273025.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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