Inspection on 21/03/06 for Blackburn Drive, 13

This inspection was carried out on 21st March 2006.

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 found no outstanding requirements from the previous inspection report, but made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Blackburn Drive, 13 10/06/08

Blackburn Drive, 13 24/07/07

Blackburn Drive, 13 22/05/06

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 08/07/2008.

CARE HOME ADULTS 18-65 Blackburn Drive, 13 13 Blackburn Drive Halewood Liverpool Merseyside L25 0QF Lead Inspector Ms Lorraine Farrar Unannounced Inspection 21st March 2006 13:35 Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Blackburn Drive, 13 Address 13 Blackburn Drive Halewood Liverpool Merseyside L25 0QF 0151-486-2054 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.V285168.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User to Include up to 2 LD Date of last inspection 8th December 2005 Brief Description of the Service: Blackburn Drive provides support and accommodation for two adults who have a learning disability and some additional physical disabilities. The home is operated by Community Integrated Care Services (CIC) who provide staff, budgets and support to Service Users, the building itself is owned by Maritime Housing Trust who are responsible for maintaining the structure of the premises. The home is a detached bungalow in a residential area of Halewood and fits in well with other houses in the nearby area. Outside there is a front garden with some parking and an enclosed back garden with small patio. Inside the home has two single bedrooms, an office, lounge, dining room, one bathroom and kitchen, there is also a small extension at the back, which is used for some storage and laundry facilities. Staff are available 24 hours a day to provide support to Service Users in all areas of their daily lives. Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home. Information for the inspection was gathered in a number of ways, this included meeting with Service Users, discussion with staff and the Manager, a partial tour of the building and reading records and documents in the home. Further information on the home can be found in the report of the unannounced inspection of the home carried out in December 2005. What the service does well: What has improved since the last inspection? What they could do better: As a result of the previous inspection of the home in December 2005 eight requirements were given to improve the service offered. Of these the date to meet one requirement has not yet been reached and the home have not fully met the remaining 7. Evidence was available that the home are working towards meeting some of these. The home still needs to make sure they are operating as safely as possible by ensuring all staff have appropriate training which is up to date, particularly in areas relating to health and safety such as medication, moving and handling Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 6 and fire. They also need to make sure that risk assessments are in place for potential risks including, staff being alone in the home with a Service User and the use of self – closing fire doors. The bathroom in the home is cold and uninviting and needs to be upgraded to an acceptable standard. The organisation need to be more open regarding the way in which they manage Service Users monies and provide explanations on file as to how this is managed and why. 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. Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): X These standards were not fully looked at during this inspection. EVIDENCE: Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): X These standards were not fully looked at during this inspection. EVIDENCE: A requirement was given at the previous inspection that the organisation must, by 10/02/06 arrange a meeting with the CSCI to discuss their management of Service Users monies. This was because records of Service Users finances held in the home were confusing and out of date with some records not available. Therefore it is not possible to establish whether Service Users monies are managed safely. The organisation responded in writing that they would arrange this meeting, however to date they have not contacted the CSCI to make arrangements. A further date for complying with this agreement has been given as a result of this inspection. It is important that the organisation cooperate with the CSCI to ensure that Service Users interests are protected and that information legally required for inspection purposes is made available. Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 & 17 The home supports Service Users to maintain relationships and to eat a healthy balanced diet with support at mealtimes when needed. EVIDENCE: The manager explained that Service Users families are welcome to visit at any time and records in the home confirm this. The homes statement of purpose states that ‘ family should be involved and contribute to the care of their relative’ and the manager explained that the home contacts relatives with information about the Service User and sends monthly updates to one relative as requested. The organisation has a policy in place for supporting Service Users with relationships and sexuality. Service Users have opportunities to meet people without disabilities via their use of community facilities. The home holds a budget for food shopping and uses local shops and supermarkets. Staff explained that sometimes the Manager shops for this but Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 11 at others times staff support Service Users to go and each Saturday both Service Users go to a local farm shop for fresh fruit and vegetables. Menus are decided daily with records showing a variety of foods are offered, on the day of the inspection lunch was egg salad with chicken sweet and sour for the evening meal. Food was stored appropriately with sufficient supplies available. Staff spoken with were able to explain the support offered to each Service User with their meals and drinks. The home has a comfortable dining room available and Service Users were seen to enjoy a drink in the lounge. Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): X These standards were not fully looked at during this inspection. EVIDENCE: It was identified at the previous inspection that some training for staff was overdue this included fire and medication for some staff and updates in manual handling. The home must make sure all staff are up to date with training in these areas to ensure staff are practicing safely and not putting themselves and Service Users at risk. A requirement was given as a result of the previous inspection in December 2005 that the home must provide accredited training for all staff who support Service Users with their medication. At this inspection the Manager explained that this training had been booked for all staff on 30/04/06. A requirement was also given that all staff must have up to date training in manual handling by 15/03/06. This requirement had not been met, however the Manager explained that she had attended a ‘Train the Trainer’ course recently and is now able to train other staff. A date of 15th May 2006 for all staff to have received this training was agreed during the inspection. Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): X These standards were not fully looked at during this inspection. EVIDENCE: Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 & 28 The home has several communal areas providing sufficient space and a comfortable atmosphere. The exception to this is the bathroom, which is cold and uninviting and not of a standard found in most domestic homes. EVIDENCE: It was identified at the previous inspection that the home has one bathroom, which provides a toilet, sink, bath and walk in shower. This room was very cold and uninviting with no form of constant heating available. The room is old fashioned and needs to be refurbished, there are four different types of tile used on the walls, the shower chair is rusty, the floor tiles appeared to have ground-in grime, the sealant around the bath is rotting and the windows are single glazed adding to the lack of warmth. A requirement was given that the room must be refurbished to an acceptable standard by the 30th May 2006 to ensure it is warm and of a standard acceptable in any domestic home. At this inspection the Manager explained that she had arranged for a copy of the last inspection report to be sent to the housing association with responsibility for the building. Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 15 Shared space within the home consists of a lounge, separate dining room, kitchen, laundry and enclosed back garden. These rooms are comfortably furnished and decorated and have a homely atmosphere. Throughout the home there is sufficient space for Service Users, staff and visitors to use. The home has a no smoking policy in place. Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 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 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 Service Users are supported by a competent and qualified staff team. EVIDENCE: Since the last inspection in December 2005 all permanent care staff working in the home have achieved a care qualification (NVQ). The home is therefore exceeding the national standard of having 50 of care staff qualified to this level. Staff were seen to spend time talking with and interacting with Service Users and in discussion it was evident that they have a good understanding and knowledge of Service Users personalities, needs and choices. It was identified at the previous inspection that at times there is 1 member of staff in the home with a Service User and that the home must carry out a risk assessment of this practice to make sure both Service Users’ and staff are safe. If a risk was identified the home must put measures into place to minimise this. The home had not fully complied with this requirement, however the Manager had completed a lone working procedure and provided evidence that the company were working on a risk assessment in this area. An extended date of 30/04/06 for meeting this requirement was agreed with the Manager. Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 39 The home is operated by an experienced, qualified Manager. No evidence is available in the home that a working quality assurance system is used. EVIDENCE: Mrs Mary McGibbon is the Registered Manager of the home. She has many years experience of working with adults with a learning disability and has worked at the home since Service Users moved in. Mrs McGibbon holds a care and management qualification and through reading records and discussion it was evident that she attends training events to maintain and increase her knowledge. She stated that she has a job description from the organisation covering her role in the home. The Manager explained that each year the organisation arrange for a quality audit of the service to be carried out. She completes this and it covers areas including, training, accounts and complaints. She also explained that the company carry out staff and relative surveys to obtain their views and an overall summary form the company is published each year. No records or Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 18 evidence of the quality assurance process or results are available in the home therefore it was not possible to establish the effectiveness of this. It was identified at the previous inspection of the home in December 2005 that Fire training was out of date for staff, and a requirement was given that that home must make sure that all staff receive fire training in order to make sure Service Users’ are safe in the event of a fire. This requirement had not been met, however during this inspection the Manager made arrangements for the training to be delivered to all staff by 29/03/06. It was also identified at the previous inspection there is some difficulty with the self-closing fire doors. These close automatically but due to Service Users disabilities can cause a risk to them or their carer in getting through the door using a wheelchair. A requirement was given that the home must carry out a risk assessment of these doors taking into account the risk to Service Users of fire and to their mobility and act upon any findings. This requirement had not been met, however evidence was available that the organisations Heath & Safety Officer visited the home in January 2006 to review this and Manager advised that a report will be prepared of the findings. Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 1 28 3 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X 1 X X X X Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 20 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 YA20 Regulation 18(1)(c) Requirement The home must provide accredited training for all staff who support Service Users with their medication. This is a requirement from the previous inspection. 2. YA27 23(2) The home must arrange for the 30/05/06 bathroom to be refurbished to an acceptable standard. The organisation must arrange a meeting with the CSCI to discuss their management of Service Users monies. This is a previous inspection requirement. 4. YA33 13(4)(c) The home must carry out a risk assessment for their practice of leaving one member of staff in the home. They must act on any findings from this assessment. This is a previous inspection requirement. 30/04/06 30/04/06 Timescale for action 30/04/06 3. YA7 17(2) Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 21 30/05/06 5. YA34 13(5) The home must make sure all staff have up to date training in manual handling. This is a previous inspection requirement. 6. YA42 23(4)(d) The home must ensure all staff have up to date fire training This is a previous inspection requirement 7. YA42 13(4)(c) The home must carry out a risk assessment of the self-closing fire doors and act on any findings. This is a previous inspection requirement 8. YA7 25 & 20 All finances relating to the running of the home and individual Service Users must be maintained within the home. This requirement was previously issued on several occasions. 9 YA39 24 The home must establish a system for reviewing the quality of the service and make copies available to the CSCI and in the home for Service Users. 30/06/06 28/05/06 30/05/06 30/04/06 Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 22 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 YA6 Good Practice Recommendations The home should hold formal care reviews for Service Users and invite relatives to attend. This is a previous inspection recommendation 2. YA7 The home should support Service Users to access an appropriate advocacy service. This is a previous inspection recommendation 4. YA35 The home should compile a training needs assessment for the staff team. This is a previous inspection recommendation Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Blackburn Drive, 13 DS0000021459.V285168.R01.S.doc Version 5.1 Page 24 - 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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