Inspection on 11/08/05 for Birwood

This inspection was carried out on 11th August 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 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

Birwood 19/08/09

Birwood 05/08/08

Birwood 19/04/07

Birwood 23/02/06

Birwood 21/01/05

Birwood 15/04/04

Birwood 04/03/04

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 Birwood Wheathills Road Huyton Kowsley L36 5UR Lead Inspector Diane Sharrock Unannounced 11 August 2005 th 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 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 Stationary 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. Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Birwood Address Wheathills Road Huyton Knowsley L36 5UR 0151 449 3333 0151 449 3333 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Community Integrated Care Care Home 3 Category(ies) of LD Learning Disability (3) registration, with number of places Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include up to 3 (LD) Date of last inspection 21/01/05 Brief Description of the Service: The home is a 3 bedded bungalow currently registered as a care home for Younger Adults with Learning Disabilities offering “Residential Personal Care.” The Bungalow is situated in Wheathills Road, Huyton close to local amenities. Community Integrated Care is the named company. The Registered Manager is Mr Ian Campbell and the Registered Provider is Dr D E Robertson. Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3.5 hours. It was an unannounced visit and was carried out as part of the regulatory requirement for care homes to be inspected at least twice a year. There has been no cause for any visits to the home since the last routine inspection in 21/1/05. A partial tour of he bungalow was conducted. Care records and other care home records were inspected. The Two Staff on duty had general discussions with the Inspector and the Inspector met all 3 of the Residents who had resided at the bungalow for many years What the service does well: What has improved since the last inspection? There is a plan for the gradual and ongoing maintenance and upgrading of the home. Some work has been undertaken since the last inspection and all doors now have electronic door wedges which promotes further safety within the bungalow. Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 Page 6 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. Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 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 standard(s) Not measured at this inspection. EVIDENCE: As identified at the home’s previous inspections, the home has three long standing Service Users and there is no movement with the current status, so at present time there are no new admissions into the home. Not measured at this inspection. Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 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 standard(s) 6.9 A review of personal support should take place so that the resident’s personal choices are not restricted. There continues to be progress made within care plans which include details for health, personal and social care needs of Residents. EVIDENCE: Individual plans of care are available and identify relevant aspects of health and personal care and plan accordingly and the staff have helped develop a style of plan called “essential lifestyle plans” that identifies a planned approach to individual choice, likes and dislikes. One plan was noted to be in need of updating due to a recent change to the Residents needs however it was acknowledged that the daily records gave a detailed description of all actions taken by Staff to improve the Residents health. It was noted that there had been no activity and support for one Resident for a week as the Manager was on holiday and Staff stated they were unable to manage the wheelchair and only the Manager was able to effectively support the Resident. This was discussed with the Manager following this inspection and identified a need for the company to review this situation as a matter of priority so that the Residents needs and choice should not be restricted especially as the manager was currently working between 2 homes and Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 Page 10 effectively only working part time at the home, this should be discontinued so that the Residents needs at Birwood have the full support required. Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 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 standard(s) 12.13.15.17 Further review is needed by the company in supporting Residents with employment in the community and in transport. Family members are fully informed and involved in regular contact were requested. Procedures for meals are to be reviewed including updated training. EVIDENCE: Staff were observed to have a good rapport with Residents and were observed to assist Residents in various choices. The care plans, essential life plans and daily record book all emphasise the importance of promoting as much choice as the Residents are able to exercise however the issue of supporting one Resident in the community has recently been restricted as Staff explained they find they are unable to manoeuvre the wheelchair and Staff were unsure when one Resident would be going back to their job which they thought had temporarily stopped due to staffing problems. The home no longer have its own minibus and each Resident now has a mobility allowance to enable them to access either public transport or taxi’s. Staff are aware of each Residents likes and dislikes to food and prepare meals daily, assistance with Residents during meal times was discussed with the Manager following this inspection Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 Page 12 who agreed to review current procedures and to arrange an update in training from the dietician regarding swallowing reflexes and procedures to follow with meals. Care records show all relevant persons important to each Resident and support is given by Staff to maintain regular contact or communication. Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 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 standard(s) 19.20 Medication procedures were found to be in good order. Care records are detailed however one care plan needed to be updated this standard was met in part. EVIDENCE: Staff described how they have recently made contact with members of the multi disciplinary team including District Nurses. Residents are assisted in accessing these services in the community by attending appointments at local clinics. Care records identified access to these services, however one care plan needed to be updated and include all the referrals and actions taken by Staff to improve one Residents health. The home has its own medication cupboard and Staff manage all aspects of each Residents medication. Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 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 standard(s) 23 Improvements have been made in this standard with just one outstanding issue to now be attended to regarding all monies to eventually be paid into each Individuals account. EVIDENCE: Although standard 23 has not been measured in full at this inspection the Manager has contacted CSCI following this inspection and stated verbally that the outstanding requirement regarding the Residents management of their money has been met. He explained that each Resident now has access to their own account and money is paid into this and all records held at head office are now fully accessible to them, the only outstanding issue is the payment of mobility money which the manager explains the company are arranging for this to be paid directly into each Residents account in the next month, the Company now need to give the Residents ands Manager a confirmed date of when this procedure will be put in place. Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 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 standard(s) 24.30 This standard is met and the home offers a safe and comfortable environment. EVIDENCE: The Bungalow was found to be well maintained and decorated to a good standard, with all areas being clean and tidy. Staff explained that they were just waiting for the kitchen flooring to be replaced however they did not have a date and this was noted at the previous inspection. A confirmed date should now be given to Residents and Staff to replace the kitchen flooring to improve this area of the bungalow as its old and stained and looks worn to the rest of the environment. Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 This standard was met in part around mandatory training and further developmental training was noted as a possible need to review and develop by the Company. EVIDENCE: Staff described the various training sessions they had attended recently and explained that they were happy with all of the courses they had attended and felt they were appropriate to the work they carry out. Two areas of possible updates to training identified in this inspection involved the use of wheelchairs and procedures for nutrition and support of people with swallowing difficulties. Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 This standard was met with updated risk assessments in place. EVIDENCE: Risk assessments are carried out by the homes Manager and reviewed on a regular basis, the issue around doors being wedged open and the risks associated to this has been addressed with the installation of magnetic door releases put on most doors within the bungalow.. The Manager has spoken to the Inspector following this inspection and explained that he is currently managing two homes as a temporary measure, this should be reviewed and stopped b y the company as it was found to impinge on the support needed for one Resident who had not been out for a week while the Manager was on holiday. Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 2 2 x 3 x 2 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Birwood Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 Page 19 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 23 Regulation 20 Requirement For the Responsible Person to provide evidence to the CSCI and the Manager and Residents, that outstanding monies kept in head office are arranged to be paid into each Residents individual account as a matter of priority. The Responsible Person must ensure that the staffing of the home meets the ongoing needs of the Service Users, and submit evidence to the CSCI describing the actions taken to meet this regulation and inform the Resident of actions to be taken to support them both in the community and in their place of work. Timescale for action 15/9/05 2. 6 18 1 a 15/9/05 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. Birwood Refer to Standard 42 Good Practice Recommendations To identify and develop Managerial hours for the present Managerial role and demonstarte day to day management F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 Page 20 2. 3. 4. 5. 24 42 19 35 of Birwood.. To provide an updated “written and maintenance/decorating/refurbishment programme including dates for replacement of the kitchen flooring. To provide details of plans to improve the accessibility and utility of the garden. To update careplans and update reviews to reflect the current support and care needs. To review the need for further training in support of the use of wheelechairs and dietary support and update individual training needs. Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 2nd Floor Burlington House Crosby Road North Waterloo 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 Birwood F53 F03 S21516 Birwood V244586 110805 Stage 4.doc Version 1.40 Page 22 - 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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