Inspection on 18/05/06 for Blackfriars

This inspection was carried out on 18th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Blackfriars 18/09/07

Blackfriars 29/09/05

Blackfriars 27/04/05

Blackfriars 11/01/05

Blackfriars 06/09/04

Blackfriars 25/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Blackfriars 12-14 Blackfriars Oswestry Shropshire SY11 2DU Lead Inspector Mike Moloney Key Unannounced Inspection 18th May 2006 07:00 Blackfriars DS0000020685.V294706.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 Blackfriars DS0000020685.V294706.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. Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blackfriars Address 12-14 Blackfriars Oswestry Shropshire SY11 2DU 01691 670671 01691 670671 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.macintyrecharity.org MacIntyre Care Mrs Jane Anita Humphreys Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th September 2005 Brief Description of the Service: 12-14 Blackfriars is part of the MacIntyre Care Services organisation and is registered with the Commission for Social Care Inspection to provide a home to four people with learning disabilities. It is situated in a very pleasant area of Oswestry, close to all amenities and the property is in keeping with the local neighbourhood.Jane Humphreys is the registered manager and has NVQ 4 in care and management. Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports, information gained by earlier visits to the area office of the provider, the quality assurance process and observation of care experienced by people using the service. What the service does well: 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 Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. Blackfriars DS0000020685.V294706.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 Blackfriars DS0000020685.V294706.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: No new service users have been admitted to this home since the last inspection therefore it was not possible to assess the key standard in this section on this occasion. Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 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): 6, 7,and 9 Quality in this outcome area is good. The service user plans are comprehensive and updated at appropriate intervals ensuring that the individuals’ needs are met. Where possible service users are consulted and do make decisions about their lives. EVIDENCE: The care plans and the assessments of activities contained the information that continue to enable staff to work towards the service users’ goals. Because of the range of needs and the dependency levels of the service users the setting of these goals had, of necessity, involved very little direct input from some of the individuals concerned. It was, however, clear from interacting with the service users that some of them could express their views and that they had been asked for them before the plans were agreed. The staff on duty at the time of the inspection confirmed that this had happened. The records contained evidence that these plans had been reviewed by staff on a regular basis. Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 Page 10 In talking to and watching the service users it was obvious that they were encouraged to make as many decisions for themselves as possible and their records showed when this had not happened for safety reasons. Various elements identified within the Individual Plans had also been risk assessed and these documents were regularly reviewed protecting the safety of the individual concerned. Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 15, 16 and17 Quality in this outcome area is good. Residents are helped and encouraged to keep in contact with their friends and make good use of the local facilities. The home provides good quality food in appropriate quantities. EVIDENCE: Each of the care records looked at during the inspection contained a weekly activities list for that individual. The lists contained such things as the attendance at the local day centre, shopping, hairdressers, days out and a variety of domestic activities. Listening to conversations between staff and the service users it was clear that they make good use of the local facilities not just by going shopping but by personally using other services such as banks. Those discussions were also heard to be about the friends and families of the service users. Although this visit took place during the early morning it was evident that service users are given a choice of meals in that each was given a different breakfast and they clearly enjoyed what they were given with one of the ladies Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 Page 12 saying so. That same person confirmed that all of the meals that she had been given were to her liking and looking at the menus showed that a wide variety of meals are offered. Within the care records lists of favourite foods were also seen showing that the staff had taken into account service users’ personal preferences when designing the menus. Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 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 the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The healthcare needs of the service users are met. EVIDENCE: The service users care plans clearly showed how each individual should be approached and how different types of help should be given. When personal support was needed the person concerned was discreetly taken to a bathroom or their room making certain that their personal care needs are met whilst their dignity is maintained. Numerous entries in the home’s diary and the individuals’ records that were confirmed by either the staff or the service users showed that the help of various healthcare professionals was obtained when necessary. The storage and recording of medication was looked at and was seen to be appropriate. Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 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 the following standard(s): 22 and 23 Quality in this outcome area is good. The service users are protected from abuse and the staff enable their views to be taken into account despite the nature of their disabilities. EVIDENCE: The staff on duty at the time of the inspection reported that the home has received no allegations of abuse or complaints. The home had a copy of the local policies and procedures for the protection of vulnerable adults as well as a copy of their own complaints procedure both being part of the systems that ensures that the service users are listened to and protected from abuse, neglect and self-harm. Although the level of the disabilities of the service users means that they are unlikely to be able to access these formal policies, observation of the staff interacting with them and communicating between themselves indicated that they, the staff, would be aware of any dissatisfaction expressed by a service user and it was seen that a whistle blowing policy is available to be used. Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 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 the following standard(s): 24 and 30 The standard of the environment is good providing service users with an attractive and homely place to live. EVIDENCE: The home is situated on a housing estate in Oswestry and is a bungalow that has been converted to its present use in a sensitive and practical manner that is consistent with others in the neighbourhood. The home has a main laundry area that is clean and well equipped. These facilities remain unchanged. Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 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, 34, 35 and 36 Quality in this outcome area is good. The home ensures that staff are available in adequate numbers, with appropriate training and are suitably supervised to meet the needs of the service users. EVIDENCE: Talking with and observing the staff on duty at the time of the inspection confirmed that enough staff are on duty at all times to meet the current needs of the service users. Whilst looking at the rota one of the staff explained that extra staff are on duty at some points during the week to enable activities to take place away from the home during the evenings and weekends. Looking at the records and talking with the staff confirmed that they receive all of the mandatory safety training and most were qualified to NVQ2 in care with many at NVQ3. They also confirmed that they receive regular and frequent supervision from the manager. A visit to the providers office to study the recruitment records on 21st March 2006 confirmed that all of the required background checks had been carried out before each new employee had been allowed to start working with the service users so as to ensure that they were suitable to do so. Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 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 and 42 Quality in this outcome area is good. Quality in this outcome area is good. The home is a well run and safe environment for the service users to live in. EVIDENCE: Although the manager was not present during this inspection it is known from previous inspections that she has the qualifications required of someone in her position. The Commission for Social Care Inspection have been regularly receiving copies of the reports on visits made by the responsible individual required by Regulation 26 of the Care Homes Regulations 2001 and these show that important areas of the home’s performance are reviewed on a regular basis. During this inspection a number of records were looked at that monitor safety issues within the home such as the fire prevention records, water temperature records and portable appliance tests as well as the accident records. All of these records were found to be appropriately maintained and action taken where necessary. Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 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 Standard No Score 1 x 2 N/A 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 4 33 x 34 3 35 3 36 3 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 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 Page 19 no 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. 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. Refer to Standard Good Practice Recommendations Blackfriars DS0000020685.V294706.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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. 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