Inspection on 20/04/07 for Bennett House

This inspection was carried out on 20th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Bennett House 13/12/05

Bennett House 28/06/05

Bennett House 19/10/04

Bennett House 11/05/04

Similar services:

Littledale Hall Therapeutic Community

Padgate House

Mary & Joseph

Westcliffe House

Richards House

Hamer Cottage

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Bennett House 16 Bennett Road Crumpsall Manchester M8 5DX Lead Inspector Val Bell Unannounced Inspection 20 and 25th April 2007 10:00 th Bennett House DS0000021604.V334276.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 Bennett House DS0000021604.V334276.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. Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bennett House Address 16 Bennett Road Crumpsall Manchester M8 5DX 0161 795 4003 0161 721 4438 bennetthouse@alcoholanddrugservices.org.uk 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 Care Home 16 Category(ies) of Past or present alcohol dependence (16) registration, with number of places Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 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) a registered charity, manage the service. 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. At the time of this inspection the weekly charge for this service was £338 per week. Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on information gathered by the Commission for Social Care Inspection (CSCI) since the last inspection on 13th December 2005 and supporting information provided by the manager prior to the visits to the home. Additionally, ten people living in the home provided information by completing satisfaction surveys. Site visits to the home form part of the overall inspection process and the lead inspector conducted two visits during daytime hours on Friday 20th and Wednesday 25th April 2007. The opportunity was taken to look at the core standards of the National Minimum Standards (NMS) This inspection will also be used to decide how often the home needs to be visited to make sure that the required standards are being met. During the visit time was spent with people living in the home and discussions were held with two project staff, the cook and handyperson and the temporary home manager. Relevant documents, systems and procedures were assessed and a tour of the home was undertaken. What the service does well: The home was commended for best practice in eleven of the twenty-three standards assessed during this inspection. People making enquiries are given a comprehensive information pack that explains what can be provided by the home. When a referral form is received the person is invited to visit the home for an assessment of need. During the visit people can ask questions and meet staff and individuals living there and have a look around. This makes sure that people have enough information to decide if the home will be the right place for them. An initial plan of support is agreed with the individual so that they know what to expect if they decide to move into the home. After admission, the assessment process continues for the first four weeks then a meeting is held to review the person’s needs and decide what support the person will need to achieve their personal goals during the following three months. Six men living in the home praised the support they had received and one of the men said that this had resulted in him becoming more self-confident and hopeful that he would achieve his wish to live an independent life. People living in the home have access to a diverse range of experiences and activities that enable personal growth and the development of independent lifestyles. Six men spoken to during the site visits confirmed that they felt valued and respected and were treated as individuals. Staff encouraged and supported them to make decisions that affected their lives and to take responsibility for activities of daily living such as housework and cooking. The Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 6 home places a high importance on safety and robust systems for assessing and managing risks and safeguarding adults from abuse affords protection to individuals’ welfare. The home actively encourages people to express their views on the quality of the service provided and will take prompt action to improve things if people have any concerns. The home is regularly decorated and the high standard of furniture and fittings provides a safe, pleasant and comfortable living environment. A quality auditing and monitoring system ensured that records held and procedures undertaken in the home were checked on a regular basis for accuracy. 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. Bennett House DS0000021604.V334276.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 Bennett House DS0000021604.V334276.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): 1 and 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Robust systems in place for providing up to date information and ongoing assessment of needs ensures that people admitted to the home can be confident that they will receive support that is tailored to their individual needs. EVIDENCE: People enquiring about this service were issued with an information folder containing the home’s brochure, Resident’s Handbook (Service User Guide) Statement of Purpose, the organisations most recent annual review and a referral form. The Resident’s Handbook contained information on the home’s procedure for making complaints and a sample of the views of people who had used the service. Following receipt of a referral form the home invited the person to visit for an assessment of needs and the opportunity to meet staff and people living there and have a look around the premises. People were also given the opportunity to ask questions and this enabled them to take a decision on whether they thought the home would be the right place for them. At the end of the initial assessment people were given a care plan outlining how the home would be able to meet their needs. The comprehensive information provided to potential users of this service was commended as an area of best practice. Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 9 A sample of five individual files containing assessments of need was assessed during the first days site visit. Assessments of need covered social, health (mental and physical), medication, aspirations and preferences, personal goals, accommodation, finances and informal support networks. Following admission people continued to have their needs assessed for the first four weeks at which point a post-admission review was held. Further reviews were held every three months. This robust system of needs assessment ensured that individuals’ changing needs were identified and recorded on a continual basis. Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 10 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): 6, 7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Peoples assessed needs are met through the provision of flexible support and encouragement to develop independent lifestyles of their choice. EVIDENCE: The five care plans examined provided evidence that peoples needs and goals had been fully identified from their assessments and reviewed on an ongoing basis. The home allocated each person with a key worker and together they developed an initial four-week care plan. The care plans had been reviewed after four weeks to incorporate a structured group work programme and an individualised care plan which addressed such issues as education, finances, health, housing and counselling. Care plans were then reviewed and updated every three months. People met with their key workers every week to discuss their personal development and records were held detailing these discussions and agreed actions for future support. It was evident from these records that people were receiving flexible support and encouragement to make decisions Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 11 and choices and to take informed risks towards achieving an independent lifestyle. One of the men living in the home said, “I have a very good relationship with my key worker who has been firm but fair with the support provided. I wouldn’t have succeeded without her support.” He added, “I can also talk to the other project workers if I need support at any time. Bennett House has been good for me. I have money in my pocket now, which is something I never had before, as it would all have been spent on drink. I have much to look forward to and so many things that I want to do when I move into my own place.” The home had developed a risk assessment and management policy and the procedures in place enabled staff to identify risks associated with the support to be provided. Risk assessments and intervention plans had been developed and agreed with people living in the home. The plans contained clear guidance to staff on preventative and reactive measures needed to keep people safe. Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 12 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home have access to a diverse range of experiences to enable personal growth and the development of independent lifestyles. EVIDENCE: The home’s brochure informs people that, ‘Recreation plays an important part of life at Bennett House.’ The home provides facilities for playing pool and darts and people have access to a range of community facilities such as swimming, football, squash and badminton. Other leisure facilities include theatres, cinemas and restaurants. Group activities in the local community are organised on Tuesday of each week and a man living in the home said that he had enjoyed the trip to the police museum the week before. People are also encouraged to participate in voluntary work and a man spoken to, said he was considering becoming a volunteer for the local dogs home. Another person said he had joined a gym and was enjoying the benefits of getting fit. Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 13 People are supported to maintain contact with their family and friends within an agreed risk assessment framework and visitors can be received at the home according to the preferences of the people living there. Daily routines in the home promoted independence and individual choice and people living there were observed to take responsibility for keeping the environment clean and tidy and for the preparation and cooking of meals in the morning, lunchtime and at weekends. During the week a cook was employed to provide a cooked evening meal. Menus were displayed in the dining room and these afforded people several choices. The six people spoken to praised the standard of catering provided by the home and in conversation with the cook it was evident that she had a good knowledge of peoples individual needs and preferences. People living in the home took turns in providing cleaning support in the kitchen and a health and safety-monitoring system was in place to ensure that risks to peoples health and welfare were minimised. One minor shortfall was noted as a bowl of chicken salad and rice in the fridge had not been labelled. This is essential to ensure that people are not placed at risk by eating food that has passed its safe use by date. Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 14 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): 18, 19 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are encouraged to take responsibility for their own lives and are supported to develop the skills and confidence to live independently. EVIDENCE: The home supports and encourages people to take responsibility for their personal and healthcare needs, to maintain sobriety and to develop skills in looking after themselves when they return to the community. People living in the home take responsibility for activities of daily living according to their assessed needs, which are kept under constant review. When they are confident and able to manage an agreed level of independence they move into one of the self-contained flats at Bennett House. This gives people the opportunity to work towards a planned resettlement in the community with ongoing support as needed. One of the men said, “The support I’ve received here has made me feel more confident. I’m no longer worried about being able to manage on my own. It’s good to know though, that I can come back and talk to the staff if things get a bit tough.” Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 15 The people living in Bennett House at the time of this inspection were administering their own medication. Risk assessments had been undertaken and secure medication storage was provided in all bedrooms. Staff checked incoming medication before signing this over to individuals and staff closely monitored people to ensure that they were taking their medication as prescribed. Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 16 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust procedures for dealing with complaints and safeguarding adults from abuse, affords protection to the welfare and safety of people using the service. EVIDENCE: The homes complaints procedure had been included in the Resident’s Handbook that was issued to people making enquiries about the service. The six people spoken to during the site visits knew how to make a complaint. The home had received one complaint since the last inspection and following a thorough investigation the complaint was upheld. It was pleasing to note that following the investigation the manager had prepared a report for senior management highlighting the need for further training and supervision of the member of staff concerned. This was an example of good practice. Since the last inspection staff had received the required training in awareness of abuse and the procedure to follow if abuse was alleged or suspected. Two staff were able to confidently talk about what action they would take if they became aware of an abusive situation within the home. Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 17 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): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are provided with a pleasant and comfortable environment that meets their assessed needs. EVIDENCE: A tour of the home was undertaken over the two site visits. Communal and private space assessed included the kitchen, dining room, lounge, and the laundry, a sample of bedrooms, and bath/shower rooms and toilets. The home was clean and hygienic, fresh and airy. There was evidence of an ongoing programme of re-decoration and refurbishment to a very high standard. The manager said that the lounge had been totally refurbished with new curtains, furniture, a flat-screen TV and décor. New carpets had been provided throughout the home and the ground floor hallway had been redecorated. The dining room had been redecorated and re-tiled and new Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 18 dining furniture provided. The upstairs office and several bedrooms and flats had also been redecorated. New boilers had been installed since the last inspection. Kitchen cleaning schedules were up to date and weekly health and safety monitoring was in place. Floor tiles at the front of the freezer were cracked and uneven. This presented a tripping hazard. The handyperson said that replacement tiles had been obtained and these would be replaced the following day. It was recommended that the broken tiles be taped down to prevent falls from tripping while the repair work was awaited. Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 19 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): 32, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A competent and confident team of staff is employed to meet the assessed needs of people using the service. EVIDENCE: The homes staff training and development records were up to date and provided evidence that staff had received training in the protection of vulnerable adults, the care of medicines, acupuncture detoxification, first aid, National Vocational Qualifications (level 4) and the Registered Managers Award during the previous twelve months. Two members of staff said that they had received mandatory training in health and safety. Project workers talked confidently about the support they provided and it was evident that they had the relevant knowledge, skills and experience to understand and meet the needs of people using the service. The manager stated that the organisation had written to inform the Commission that recruitment records were now held centrally at their head office in Manchester and that these would be available for inspection on request. The recruitment records were not examined during this inspection as Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 20 the manager confirmed that the required pre-employment checks were always obtained prior to a person’s appointment. Written evidence was also presented to confirm that Criminal Record Bureau disclosures had been obtained. Project workers were being supervised every month and team meetings were held every six to eight weeks. Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 21 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): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The views of people using this service are listened to and action is taken to make continual improvements to the quality of the service provided. EVIDENCE: The home was recruiting a permanent manager at the time of this inspection. A registered manager from one of the organisation’s other services was temporarily in charge. People using the service considered that the home was managed well and they were confident that their individual needs were being met in a flexible way that respected their individuality. The home had an operational quality auditing and monitoring system that incorporated the views of people using the service. Satisfaction surveys were Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 22 issued periodically, particularly following admission and discharge. The data from the surveys had been analysed and was used to make continual improvements to the quality of the service. Emphasis was placed on ensuring compliance with health and safety legislation within the home. This was achieved through monthly building checks and up to date risk assessments. A sample of the health and safety records provided evidence that the homes equipment had been regularly maintained. The home had been proactive in liaising with the environmental health officer to ensure that they would comply with the smoke-free legislation being introduced from 1st July 2007. Health and safety guidance was readily available to people living and working in the home. The home was commended for best practice in the area of health and safety. Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 23 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 4 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 X 3 3 X 3 X X 4 X Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 YA17 Good Practice Recommendations The registered person should ensure that all food stored in fridges and freezers, is labelled to identify the type of food and the date it was prepared. This will prevent the risk of people eating food that has passed its safe use by date. The risk of falls from tripping on cracked floor tiles in the kitchen should be minimised by making the area safe until repair work is carried out. 2. YA24 Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Regional Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU 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 Bennett House DS0000021604.V334276.R01.S.doc Version 5.2 Page 26 - 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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