Inspection on 10/06/08 for Blackburn Drive, 13

This inspection was carried out on 10th June 2008.

CSCI found this care home to be providing an Adequate service.

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Blackburn Drive, 13 24/07/07

Blackburn Drive, 13 22/05/06

Blackburn Drive, 13 21/03/06

Blackburn Drive, 13 08/12/05

Blackburn Drive, 13 15/11/04

Blackburn Drive, 13 27/07/04

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 27/09/2008.

CARE HOME ADULTS 18-65 Blackburn Drive, 13 13 Blackburn Drive Halewood Liverpool Merseyside L25 0QF Lead Inspector Ms Lorraine Farrar Unannounced Inspection 10 June 2008 12:15 Blackburn Drive, 13 DS0000021459.V362726.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 Blackburn Drive, 13 DS0000021459.V362726.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. Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blackburn Drive, 13 Address 13 Blackburn Drive Halewood Liverpool Merseyside L25 0QF 0151-486-2054 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) www.c-i-c.co.uk. Community Integrated Care Mrs Mary McGibbon Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 Service Users to Include up to 2 LD Date of last inspection 24 July 2007 Brief Description of the Service: 13 Blackburn Drive is a detached bungalow located in a residential area of Halewood. There are local shops, public transport and facilities nearby. The bungalow has two single bedrooms, an office, lounge, dining room, bathroom and kitchen for the people living there to use. There is also a small extension at the back, which is used for some storage and laundry facilities. Outside there is a small front garden with some parking and to the back a large enclosed garden with seating area. 13 Blackburn Drive has some adaptations, including an accessible shower and hoist. Ramps are fitted to the front and back of the house to support people with their mobility. The home provides support and accommodation for two adults who have learning and physical disabilities. Staff are available twenty-four hours a day to provide support. The service is operated by Community Integrated Care (CIC), which provides staff, budgets and support. CIC are a national organisation that provides support services to people across the country. The bungalow itself is owned by Liverpool Housing Trust, which is responsible for maintaining the structure of the premises. It currently costs £1579.50 each week to live at 13 Blackburn Drive. Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. We gathered information for this inspection in a number of different ways. We carried out an unannounced site visit on the 10 June 2008. This took place over 4 ½ hours and included reading records and looking at the building. We spent time looking at the support the people living at 13 Blackburn Drive receive. This included looking at the support they get with their daily lives, care plans, medication, money, activities and environment. We met both of the people living at 13 Blackburn Drive and with three members of staff including the manager. Any information the Commission for Social Care Inspection (CSCI) has received since the last big inspection of 13 Blackburn Drive in July 2007 is also taken into account in writing this report. The manager completed a self assessment form before our visit. Information from this was used by us to plan this inspection. An easy to understand summary of this report is available. If you would like to see a copy please ask staff working at 13 Blackburn Drive What the service does well: The people living at 13 Blackburn Drive are supported by a staff team who know them well so are able to understand and respond to their non verbal communication and their choices. Staff support people to maintain contact with their relatives and friends. People are supported so they can take part in activities of their choice and staff spend time sitting with people and socialising as well as providing the support they require with their health and personal care. Information about each person’s support needs and their choices is clearly written down in their care plans along with information about how staff should meet these. This helps to ensure that people are supported in the way that they prefer and to spend their time doing the things they enjoy. Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 6 The house is domestic in size, well maintained and feels homely and inviting inside. There are aids and adaptations provided so people can move around more easily. Staff have training to help them support people safely and well. They have a good knowledge of the individual support needs and choices of the people living there so they can help them in the way they prefer. It was also clear that the people living there enjoy the company of staff and feel safe with them. Clear systems are in place within the home for dealing with any concerns or safeguarding issues that arise and staff have a good understanding of how to identify and deal with these so the people who live at the home are protected from harm. 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. Blackburn Drive, 13 DS0000021459.V362726.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 Blackburn Drive, 13 DS0000021459.V362726.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): 2 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Sufficient information is given to and obtained about anyone thinking of moving into the home. This ensures 13 Blackburn Drive is the right place for the person to live and that their needs and choices can be met there. EVIDENCE: Both of the people who live at 13 Blackburn Drive have lived there for many years; therefore the support offered to people thinking of moving into the home could not be practically assessed. However there is a policy in place from the organisation for introducing new people to the service and the manager was able to explain how this works in practice. Before anyone is offered a place to live at 13 Blackburn Drive, a full assessment of their needs and choices would be carried out. They would also be offered the opportunity to visit the home, meet with staff and the people living there and stay overnight if they wanted to. An information brochure about the service is available to tell people about the services and support they can expect. Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 9 This helps everyone to decide if 13 Blackburn Drive is the right place for the person to live and if their needs and choices can be met there. Blackburn Drive, 13 DS0000021459.V362726.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 & 9 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The individual needs and choices of the people living at 13 Blackburn Drive are identified so they are supported to meet these by staff working within the home. EVIDENCE: Individual care plans, risk assessments and essential lifestyle plans are in place for both of the people living at 13 Blackburn Drive. These contain information about the support people need, their choices and preferences and how they communicate. For example one plan explains ”to say bye I will push you away or let go of your hand”. This level of detail in the plans helps to ensure that staff have clear guidance on how to successfully support and communicate with the person. Plans had all been updated and reviewed regularly; this helps to ensure that any changes to the person’s choices or support needs can be quickly noted and Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 11 acted upon. Throughout our visit, staff were seen to provide support that was in line with guidance recorded in the person’s plan. Information is recorded in peoples care plans about the things they enjoy and do not enjoy and staff spoken with were able to explain how people communicate non verbally their choices at any given time. Records showed that routines in the home are flexible, based upon the things the person has indicated, such as what time they want to go to bed or get up in a morning. Clear records are available that show how the organisation manage peoples bank accounts, why they act as appointee and how decisions about how to spend their money are reached. This helps to provide clear information about how and why decisions are made on the person’s behalf. Individual risk assessments are in place for the people living at 13 Blackburn Drive. These identify potential risks to the person, staff or visitors and give clear guidance regarding how the risk can be minimised whist still enabling the person to engage in everyday activities. Blackburn Drive, 13 DS0000021459.V362726.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): 12, 13, 14, 15, 16 & 17 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The people living at 13 Blackburn Drive are supported so they can live a lifestyle of their choice. EVIDENCE: During our visit, the two people living at 13 Blackburn Drive were engaged in different activities at home. One person was sitting in their room playing a musical instrument and watching a music programme. Another person was sitting quietly in the lounge. Throughout, staff spent time with both people, chatting and laughing with one of the people and quietly sitting with the other. These activities were identified in care plans as things the person enjoyed and this was further confirmed both in discussions with staff and in observing the body language of the people living there who were clearly satisfied with the activities they were engaged in. Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 13 Records in the home and discussions with staff showed that visitors and relatives are welcomed and staff take time to support people to stay in touch with people who are important to them. Good practice was evident in that one person is supported to alter their personal care routines on the day they have visitors. This helps the person to recognise events that will take place shortly and is good practice in supporting people who do not communicate verbally to understand as much as possible about what is happening in their lives. Both of the people living at 13 Blackburn Drive have received support from two members of staff to take a holiday this year. Holidays are personal and based upon the things the person enjoys. For example, one person went on a lively holiday to Spain whilst another went on a quieter holiday to Jersey. Records showed that people not only receive support at home to take part in activities of their choice but they are also supported to get out and about. Recently this has included going shopping, eating out, visiting a sensory room and going to local areas of interest for a walk. The people living there share an accessible vehicle and are supported to go out either individually or as a small group. Staff were able to explain the support people need with meals and how they prefer this to be provided. Again, this is individual to each person and staff displayed a clear knowledge of this, backed up with the information recorded in care plans. Shopping for food is carried out at local shops and one of the people living at the home accompanies staff weekly to undertake this task. They also spend time with staff when they are engaged in other household tasks. This helps to ensure people are as involved as possible in the everyday running of their home. Menus and food supplies showed that people are offered a good choice of meals and discussions with staff showed that they are aware of the need to offer people a healthy, balanced diet. Routines in the home are flexible and are based upon the person’s needs and their choices. Records showed that people could get up and go to bed when they are ready and that they can spend their time as they choose. Blackburn Drive, 13 DS0000021459.V362726.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 & 20 People who use this service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. The health and personal care needs and choices of the people living at 13 Blackburn Drive are recognised and support is provided to ensure these are consistently met. EVIDENCE: During our site visit it was evident that both of the people living at 13 Blackburn Drive receive a good level of support with their personal care. Both looked relaxed within their home and had been supported to dress comfortably for the hot weather. Up to date care plans, risk assessments and records are in place for both of the people living at the home. These give clear, detailed guidance on how to support people with their personal care and their health. In addition to the support people need, plans also contain clear information about the person’s choice and preferred routines. For example one plan Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 15 explains how the person communicates non-verbally whether they are ready to get up in a morning or not. Staff we spoke with during our visit were able to explain people’s preferences and their choices around personal care and routines. They were also able to explain clearly the support they offer to people with their health and personal care and how they can identity if the person feels unwell. A report from a health professional for one of the people living there noted that staff had “complied with enthusiasm” to recommendations for supporting the person with their daily routines. Records showed that staff provide a good level of support to people in accessing regular health services, including seeing their GP and having regular health checks with the practice nurse, dentist and chiropodist. Daily records further showed that staff quickly note any potential issues with the person’s health and monitor this, until it either improves or professional health advice is sought. As the people living at 13 Blackburn Drive cannot verbally communicate how they feel or the support that they need, the combination of clear records and planning along with good staff knowledge helps to ensure they remain as healthy as possible. It also helps to ensure that people get the support they need in a way that they prefer. Staff at 13 Blackburn Drive have received training in dealing with medication. A locked cabinet is provided to store medication correctly and this was being used during our visit. Clear records are kept of medication received into the home and given to the people living there. We looked at samples of the medication held and records relating to it during our site visit and found that they were correct. The clear systems in place within the home along with staff training and clear record keeping help to lessen the risk of mistakes occurring with people’s medication that may impact upon their health. Blackburn Drive, 13 DS0000021459.V362726.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 & 23 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. Clear systems are in place within the home for dealing with any concerns or complaints that arise. However people’s finances are not always dealt with in a way that ensures they are financially safeguarded. EVIDENCE: No complaints about 13 Blackburn Drive have been received since the last big inspection took place in July 2007. There is a policy in place for dealing with any complaints or concerns that arise and the manager was able to explain the actions she would take to respond correctly to any concerns or complaints raised with her. Relatives of the people living at 13 Blackburn Drive have previously confirmed to us that they are aware of the homes complaints system and how to use this if needed. Staff receive training in recognising and dealing with any safeguarding adults issues that arise and have a copy of the local authority procedure available to guide them. A member of staff was able to discuss the training she had received, how she would recognise any potential safeguarding adults issues and the actions she would take to ensure the people living there were protected. This helps to ensure that any issues that may arise would be dealt with swiftly. It was identified at the last big inspection of 13 Blackburn Drive in July 2007 that the way in which people contributed to the shared vehicle was unfair. The Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 17 manager told us at that time that only one name could be on the mobility vehicle agreement. However at the time the vehicle was obtained in June 2006, the plan was for both people to contribute an equal amount. As appointee for both people’s mobility money, the organisation holds responsibility for ensuring their financial interests are safeguarded. We made a requirement at the last big inspection that the service must audit the way in which people’s mobility money was managed. However, at this inspection no action had been taken to meet that requirement. As a result one of the people living at the home had been paying much more than the other for the cost of the vehicle and had not been reimbursed. Following our visit the organisation forwarded to us confirmation that they had now ensured the money owed by one person to the other one had now been transferred into their account. However it is a matter of concern that the organisation had not taken steps to ensure people’s finances were managed safely and fairly. We have written to the home separately from this report to request clear records of how they intend to evidence the support they have provided to people with this matter and ensure it does not re-occur. Samples of records and amounts of money held within the home for the people living there were checked and were correct. Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 18 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 & 30 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. 13 Blackburn Drive is well maintained so it provides a warm, comfortable and safe place for people to live in that meets their needs and choices. EVIDENCE: 13 Blackburn Drive is a three bedroom bungalow, based in a residential area of Halewood. It is well placed for getting to local amenities and parking is available on the front drive or on the road outside. Shared space within the bungalow consists of a lounge, separate dining room, kitchen, office, laundry and enclosed back garden. All rooms are clean, comfortably furnished and decorated and have a homely atmosphere. Since the last big inspection of the home, new furniture has been bought for the lounge and both bedrooms have been decorated. This adds to the overall homely and comfortable look of the bungalow. Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 19 Throughout the house there is sufficient space for the people living there, staff and visitors to spend time either in privacy or in the company of others. Outside there is a large, well maintained back garden with patio and seating. The garden and the bungalow are easy to access through the use of fitted ramps. Both of the people living there have their own bedrooms, which provide enough space for them to get about and have their personal possession around them. These are nicely decorated in accordance with the person’s choices. There are a number of aids and adaptations available to support people with their mobility at home. These include ramps, grab rails and a hoist. In addition the bathroom has a large fully accessible shower and shower chairs available to support people with their personal care. The people who live at 13 Blackburn Drive were seen to spend time either in their bedroom or in the lounge as they chose. Staff were able to explain to us how people communicate to them where they wish to sit. Suitable equipment and facilities are provided to enable staff to prevent or quickly deal with any outbreak of infection. Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 20 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 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Staff are thoroughly vetted and well trained so the people living at 13 Blackburn Drive are supported by a staff team who they are confident in and who have the skills and knowledge to support them safely and well. EVIDENCE: Throughout our visit the staff working at 13 Blackburn Drive were seen to spend time with the people who live there. It was clear from the responses the people living there gave to staff that they feel both safe and comfortable in their presence. Staff showed a good knowledge of the people they support. They were able to explain not only the support they provide with personal care but also how people communicate their choices and the things they do and do not enjoy. When they begin work with the organisation, new staff undertake an induction programme that covers health and safety and how to support people well. This includes training in areas such as moving and handling people, dealing with medication, the protection of vulnerable adults and how to communicate with people effectively. Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 21 Records in the home showed that the newest member of staff has been supported to undertake this training and has been registered to undertake further relevant courses. Staff who have worked in the house for some time also undertake regular training to update their knowledge and skills. The majority of staff in the house have achieved a recognised qualification in care (NVQ) with others planning to undertake this. The training provided helps to ensure that staff are aware of how to support people safely and in line with current good practice in the area of care. Records showed that before anyone is appointed to work at 13 Blackburn Drive a clear recruitment process including a series of checks are carried out. These include obtaining a written application and two references and checking with the Criminal Records Bureau (CRB) and register of people unsuited to work with vulnerable adults. These checks and the clear recruitment process help to make sure that staff are suitable to work with the people living at 13 Blackburn Drive. Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 22 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 & 42 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. 13 Blackburn Drive is generally managed safely. However systems do not always ensure that the service responds to identified improvements to make sure the interests of the people living there are safeguarded. EVIDENCE: The manager of the home has many years experience of working with adults with a learning disability and has worked at 13 Blackburn Drive since the people living there first moved in. She holds a care and management qualification and attends training events to maintain and increase her knowledge. Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 23 During our visit the manager demonstrated a good understanding of the people living there and how to support them effectively. She was also able to discuss future plans to further improve the service provided. There are a number of systems in place within the home to check on the quality of the service they provide. This includes regular updating of care plans and checks on staff files and medication. Regulations require a representative of the organisation to visit the home monthly and prepare a report on how the home is performing. Although some of these visits have been carried out, the last report available in the home is dated February 2008 and the last recorded visit was May 2008. These visits cover a variety of areas as diverse as care plans, the environment and issues relating to staffing and the people living there. They also provide an opportunity for any issues to be identified and an action pan put together to address these. However given that the service has not complied with a requirement regarding people’s mobility money and therefore failed to ensure the people living there were fully financially safeguarded, it appears that these quality assurance visits are not as rigorous as they need to be to ensure people are receiving as good a service as possible. Survey forms were last sent out from the home to the families of the people living at 13 Blackburn Drive in March 2007. These asked their views of the service provided along with any concerns they may have. The results were positive with no areas of concern identified. The manager told us that plans are in place to send out new surveys to relatives to obtain their recent views on the service offered. Records and certificates showed that regular checks are carried out on the building and equipment. This includes checking electrical appliances, the gas supply and regular fire checks. These checks help to ensure that the home is a safe place to live and work in. Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 24 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 3 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 2 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 2 X X 3 X Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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(6) Requirement An audit of how people’s mobility money is managed must be carried out. This will ensure that people’s money is safeguarded. This requirement is repeated from the last CSCI inspection in July 2007. 2 YA23 13(6) Clear information must be recorded in the home regarding the agreement for payment of the mobility vehicle and how this is managed. This will provide a clear audit to evidence that people’s money is managed in their best interests and is safeguarded. Systems in use within the organisation for monitoring the quality of the service provided must be reviewed and improved. This will help to ensure that the service people receive is of a good standard at all times. 18/08/08 Timescale for action 18/08/08 3 YA39 24(1) 18/08/08 Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 26 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 Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 Blackburn Drive, 13 DS0000021459.V362726.R01.S.doc Version 5.2 Page 28 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!