Inspection on 14/05/07 for Burton Road (703)

This inspection was carried out on 14th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Burton Road (703) 03/11/05

Burton Road (703) 01/07/05

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 Derbyshire DE11 0DL Lead Inspector Vanessa Davies Key Unannounced Inspection 14th May 2007 09:30 Burton Road (703) DS0000019954.V330381.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 Burton Road (703) DS0000019954.V330381.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. Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Burton Road (703) Address 703 Burton Road Midway Swadlincote Derbyshire DE11 0DL (01283) 216301 (01283) 216301 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) 26stmarksroad@robinia.co.uk The Robinia Group PLC VACANT Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd November 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) DS0000019954.V330381.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit and information was gathered both during and prior to the visit by reading records and speaking with staff and service users. The inspector was unable to examine staff records as the staff on duty did not have access to them. What the service does well: What has improved since the last inspection? What they could do better: At the time of the visit the home did not have a Registered Manager, therefore a manager needs to be appointed. The staff did state that the Provider had interviewed the week before the visit. The decorating on the first floor is now shabby and in need of updating. Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 6 Although the home has a detailed assessment procedure in place, however one file examined contained no previous medical history, although it was evident that the service user concerned should have had detailed information held. 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. Burton Road (703) DS0000019954.V330381.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 Burton Road (703) DS0000019954.V330381.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed information contained within service users files assists the staff to meet the changing needs of the service users. EVIDENCE: The service users living at the home have done so for a number of years. The assessments for each person living at the home have been reviewed and rewritten as their needs change. The information recorded was detailed and comprehensive, however the ‘medical history’ area within one assessment was incomplete, although it was evident that there was significant medical history. Each person living at the home had been supported to contribute to the review process by their key-worker, this was evident within the files and when speaking with the service users. Burton Road (703) DS0000019954.V330381.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed information and risk assessments enables service users to develop new skills and take risks EVIDENCE: Information was separated into different files. Detailed personal service plans, developed by residents and staff, were in place. Management plans in place now dated and signed. Individual reviews for each person living at the home take place at least every six months and service users are involved as much as possible. Service users stated that staff supported them and encouraged them to be as independent as possible, this was evident on the day of the visit. Service users are encouraged to take responsibility for day-to-day tasks and keeping their home clean and tidy. Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 10 Service users were supported to take responsible risks, and where appropriate were encouraged to use facilities in the community independently. Appropriate individual and activity risk assessments were in place. Burton Road (703) DS0000019954.V330381.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good, positive community links provides additional support for service users and promotes independent living skills. EVIDENCE: Good links with the community are in place. The service users spoken with talked about the regular activities they attend, such as art and music therapy, discos, shopping both in a group and individually. Service users attend activities individually as appropriate and travel independently using public transport if appropriate and risk assessments are completed for these occasions. Service users living at the home are supported to keep in touch with family and friends. Support for residents outside the staff group was also available through advocacy services. Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 12 The service users spoken with stated that they had formed friendships with each other, and respected each others belongs and bedrooms. The atmosphere was relaxed and friendly, and people used all communal areas of the home freely. Burton Road (703) DS0000019954.V330381.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate staff training and clear records ensures that service users are safe. EVIDENCE: Service users spoken with felt that the staff provided them with the support they needed. This was evident within the files examined, service users attend appointments with other professionals as necessary, files examined evidenced input from the GP, optician, social workers and other professionals. The home keeps clear records of visits from professionals. The assessment of need was incomplete within one of the files examined, it was evident that the service user should have had significant information within the previous medical history section but it was blank. Staff spoken with stated that medication was administered by staff trained to do so, however as the Registered Manager had recently left the home, the Inspector had no access to staff files. The medication is stored safely and a clear record is kept of medication received and administered. The medication Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 14 file held a photograph and information of how service users took their medication. Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems in place for addressing complaints and safe guarding adults ensure that service users are safe. EVIDENCE: Systems are in place for raising and recording complaints. Service users have a copy of the complaints procedure in their file, and staff stated that this would have been discussed with them on admission. The procedure was also on display. Service users spoken with were aware of the procedure and confident that any complaint they may have to make will be addressed appropriately. Service users are able to raise any issues through the house meetings, however these are irregular; 10/06, 02/07, 03/07 or with key workers as part of the monthly reviews and minutes of these meetings are kept. Information on complaints and the monthly review forms is available in pictorial as well as written format. There are 3 complaints on record all appear to be resolved. The systems in place to safeguard residents monies have been strengthened, through daily monitoring. All staff have completed Safe Guarding Adults training. Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 16 Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although the home is domestic in style, clean and tidy, the poor decoration in areas potentially prevents service users taking pride in their home. EVIDENCE: The home is domestic in nature and located within a residential area. It has a homely appearance and was clean and tidy at the time of this inspection. There are areas of the home, which are in need of updating, this was discussed with the staff on the day of the visit. All Service users have single rooms, and several choose to keep their doors locked. The bedrooms reflected the individual tastes and preferences. The home had a domestic style bathroom and separate shower room. Staff confirmed that the service users accommodated are able to use these facilities with minimal assistance. Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 18 Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 19 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): 32,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate staff training, staffing levels and consistency helps to assist service users with development of new skills and builds on trust. EVIDENCE: The staff team is organised into three levels of responsibility, although at the time of the visit the home did not have a Registered manager. It appears that an appropriate skill mix is provided on each shift. The staffing levels provided enable staff to support residents, both individually and as groups, both inside and outside the home. The staff spoken with confirmed that they have regular supervision, the inspector was not able to examine the records and the staff had no access to the files. Staff spoken with stated that they had received appropriate training to meet the needs of the service users. Recruitment records were not examined on this occasion due to inaccessibility. Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 20 Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 21 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the service users, with quality assurance and quality monitoring providing the basis for improving the service. EVIDENCE: People living at the home were supported by a stable staff team, although the Registered Manager had recently left the home, the staff stated that the provided had interviewed and they were awaiting confirmation of the new manager. Staff support each other and work together as a team to improve the service that they provide for the service users. Records seen within the home were well maintained and up to date and information was stored appropriately. Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 22 Staff stated that they are provided with the required training. Systems were in place for servicing of equipment and services within the home. Records supported that equipment and services were properly maintained. Fire records are up to date and service users spoken with confirmed that they were aware of what to do in the event of a fire. Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 23 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 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 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 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 Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 2 Standard YA24 YA37 Regulation 23.2d 8 Requirement The home must be reasonably well decorated throughout. The Provider must appoint a manager to manage the home. Timescale for action 30/09/07 30/09/07 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 YA2 Good Practice Recommendations All areas of the assessment of need should be completed. Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Burton Road (703) DS0000019954.V330381.R01.S.doc Version 5.2 Page 26 - 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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