Inspection on 01/07/05 for Burton Road (703)

This inspection was carried out on 1st July 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

Burton Road (703) 14/05/07

Burton Road (703) 03/11/05

Burton Road (703) 15/12/04

Burton Road (703) 05/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Burton Road (703) 703 Burton Road Midway Swadlincote DE11 0DL Lead Inspector Jo Wright Unannounced 1 July 2005 9.00am 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. Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Burton Road (703) Address 703 Burton Road Midway Swadlincote Derbyshire DE11 0DL 01283 216301 01283 567951 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) The Robinia Group Plc Mrs Janet Perkins PC Care Home only 5 Category(ies) of 5 places - LD Learning Disability registration, with number of places Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None stated Date of last inspection 15 December 2005 Brief Description of the Service: 703 Burton Road is owned by the Robinia Care Group and is managed as a small family type unit. The home is registered to provide personal care and accommodation for 5 people in the category of adults with a learning disability aged between 18 and 65 years of age. The house is situated between Burton on Trent and Swadlincote and enjoys access to both areas. The house has been furbished to reflect the style of a family home. Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, carried out over 7 hours. The inspector case tracked the care of two service users and looked at their files, their medication and their monies. All service users were spoken with during this inspection. All staff, including the Registered Manager, on duty at the time of the inspection participated in general discussions. What the service does well: What has improved since the last inspection? What they could do better: Staff must follow the procedures in place when accessing money, and make sure that the records are up to date and accurate. Please contact the provider for advice of actions taken in response to this Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 Stage 4.doc Version 1.40 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 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 Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 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) These standards were not checked during this inspection. EVIDENCE: Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 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, 7, 8 and 9 People living in the home were involved in all aspects of their care, and made decisions about their daily lives and supported to take responsible risks as part of their development. Staff had a good understanding of the service users support needs. EVIDENCE: New documentation was being introduced for service users files. Personal service plans had been developed, which were detailed and provided guidance for staff. Service users had been involved the development of care plans and had signed the documentation. Detailed management plans had also been developed, although these were not dated. The support provided to the people living in the home was reviewed at least every six months. The daily logs provided detailed information about the daily lives and activities of the people living in the home. Observation of service users and the records indicated that they made decisions and were involved in all aspects of their daily lives. Staff provided support and assistance whilst promoting independence. People were encouraged to take responsibility for day to day tasks and keeping their home clean and tidy. Staff accompanied service users food shopping on the day of Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 Stage 4.doc Version 1.40 Page 10 the inspection. House meetings were held regularly, and were well attended by the service users. Regular agenda items included activities, menus and staffing, as well as any other business. The minutes of these meetings supported that service users were able to raise any issues and given responses. People in the home were enabled to take responsible risks, and these had been identified and planned for. Service users had been involved in the development of risk assessments, and had signed to agree these. Risk assessments were also completed each time an activity took place, taking into account the service users as well as the experience and abilities of the staff. Risk assessments were reviewed and signed off on completion of each activity. Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 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) 11, 12, 13, 14, 15, 16 and 17 People living at the home were supported to live as ‘normal’ a life as possible. Links with the community were good and supported and enriched service users’ social and educational opportunities. Family contacts were encouraged and maintained as appropriate. EVIDENCE: Staff were observed supporting service users to use practical life skills, such as making hot drinks, and washing and drying the dishes. Service users were supported to use public transport independently. Discussion with service users indicated that they attended various activities outside of the home, such as college courses, art and music sessions, and community facilities such as local shops, hairdressers and public houses. The people living in the home discussed last years holidays, and stated that they were looking to book this year’s holiday in the near future. Service users were encouraged to maintain links with their friends and families, and several service users regularly went to stay with their families. Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 Stage 4.doc Version 1.40 Page 12 Visits by families were also organised and supported by staff from the home. Service users were well supported by advocacy services. Good use was made of the facilities in the local community. The home was well placed for public transport links and close to both Swadlincote and Burton on Trent. Staff routinely supported people to access community facilities, such as the hairdressers, bank and local shops. The routine at the home was very relaxed and homely. The people living there were comfortable in their surroundings and made good use of all areas of the home. All service users interacted well with each other and with the staff. Service user participated in household chores and with some aspects of maintaining the garden area. The service users participated in some aspects of meal preparation within the domestic setting. They were involved in the planning the evening meals for the week and going shopping for the food. People chose daily what they would like for breakfast and lunch. Records of meals were kept. Friday night was fish and chip night, and service users also ate out at cafes and public houses. Staff supported service users to be as independent as possible, and supported people to make drinks, prepare snacks, and help with the cooking. Service users were observed having drinks as they wished. Support and encouragement was provided to service users to assist them to maintain a healthy diet. Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 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) 18, 19, 20 and 21 Service users personal and health care needs were met with support and assistance from staff at this time. The systems for the administration of medication were good with clear and comprehensive arrangements in place to ensure service users medication needs were met. EVIDENCE: Conversations with the people living in the home supported that the routines were flexible and each service user had their own routine, including individual rising and retiring times. The support and assistance required by individual service users was recorded in their personal service plan. Service users were dressed in age-appropriate clothing and it was clear that they were encouraged and supported to attend to their personal appearance. Staff supported service users to attend health care appointments. Information about specific medical conditions was available in service users files. No issues were noted around the administration of medication at the time of this visit. Systems were in place to ensure that medication was available for social leave. Death and dying had been discussed with the service users and/or their families, and relevant information recorded in the files. Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 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 Systems for safeguarding money were not satisfactory, placing service users at potential risk of financial abuse. EVIDENCE: A recent incident at the home demonstrated that staff were aware of the whistle blowing policy and felt supported to use this procedure. Management dealt with this incident appropriately and professionally using the correct procedures. People living at the home were supported to staff to manage their own money, and to hold their own bank accounts. The systems in place to safeguard money in the home need strengthening, as discrepancies had occurred. Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 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) These standards were not checked during this inspection. EVIDENCE: Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 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) 33 The deployment and numbers of staff appeared satisfactory to meet the needs of the current service user group. EVIDENCE: A copy of the duty rota for July 2005 was provided. The staffing levels provided enable staff to provide one to one support as well as group support to service users, both inside and outside the home. The Registered Manager was provides support for staff and was able to cover any shortfalls in shifts. Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 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) These standards were not checked during this inspection. EVIDENCE: Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 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 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Burton Road (703) Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x x x x C52-C02 S19954 703 Burton Road V235230 010705 Stage 4.doc Version 1.40 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. 1. Standard 22 Regulation 17(2) Schedule 4 Requirement The system for safeguarding money must be reviewed and appropriate action taken to prevent discrepancies occuring. Timescale for action 31 August 2005 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 6 Good Practice Recommendations Management plans should be dated on completion. Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection South Point Cardinal Square Nottingham Road Derby DE1 3QT 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 Burton Road (703) C52-C02 S19954 703 Burton Road V235230 010705 Stage 4.doc Version 1.40 Page 21 - 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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