Inspection on 03/11/05 for Burton Road (703)

This inspection was carried out on 3rd November 2005.

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 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) 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 Jo Wright Unannounced Inspection 3rd November 2005 09:00 Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 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.V263512.R01.S.doc Version 5.0 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.V263512.R01.S.doc Version 5.0 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) The Robinia Group PLC Mrs Janet Perkins Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st July 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.V263512.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that lasted 6 hours. A number of residents were spoken with during the inspection. Records such as care plans (as part of the case tracking process, which is used to help determine how the home meets the needs of individual service users) were not examined in depth during this inspection. Other records such as staff files and servicing of equipment records were examined. A tour of the building was also carried out. An assessment was made with respect to the requirement made at the last inspection of this service. The manager was present at the inspection, and the findings the inspection were discussed with her. What the service does well: What has improved since the last inspection? What they could do better: No areas were identified in this section. Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 Page 6 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. Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 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.V263512.R01.S.doc Version 5.0 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): 2 Residents’ files provided staff with detailed information about individual needs, and aspirations. EVIDENCE: The people living at the home have done so for a number of years. The assessments for each person living at the home had been reviewed and rewritten. The information recorded was detailed and comprehensive. Each person living at the home had been supported to contribute to the review process by their key worker. Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 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, 8, 9, 10 Staff had a good understanding of residents support needs. This was evident from the positive relationships that had developed, and that residents were making decisions about their lives and taking responsible risks. EVIDENCE: Staff commented that although the introduction of the new documentation had been time consuming, the systems in place were beneficial. Information was separated into different files, and was easier to retrieve. Detailed personal service plans, developed by residents and staff, were in place. Management plans in place were now dated and signed. Individual reviews for each person living at the home took place at least every six months. The daily logs provided detailed information about the daily lives and activities of the people living in the home. Discussion with the people living at the home and the staff, plus observations made during the inspection supported that residents made decisions and were involved in all aspects of their daily lives. People were encouraged to take responsibility for day to day tasks and keeping their home clean and tidy. Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 Page 10 Residents 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.V263512.R01.S.doc Version 5.0 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): 11, 12, 13, 14, 15 and 16 People living at the home were supported to develop as individuals and to join in with appropriate activities. Links with the community were good and enriched individuals lives. Friendships and family contacts were encouraged and supported as appropriate. EVIDENCE: Good links with the community were in place. The residents living at the home talked about the regular activities that they attend, and enjoy, such as art and music therapy, discos, shopping both in a group and individually. The residents and staff go out for lunch at least once a week, and did so on the day of the inspection. Residents spoke about their holiday, where they had been, what they had done and how much they enjoyed it. Residents attend activities individually as appropriate and travel independently using public transport if appropriate. People living at the home were supported to keep in touch with family and friends. Several residents really went to stay with families and staff were sensitive to the needs of individuals when they returned after a home visit. Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 Page 12 Support for residents outside the staff group was also available through advocacy services. The group of people living at the home 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.V263512.R01.S.doc Version 5.0 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): These standards were not assessed during this inspection. EVIDENCE: Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 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 The home has a satisfactory complaints system. People’s views were listened to and acted upon. EVIDENCE: Systems were in place for raising and recording complaints. Residents had a copy of the complaints procedure in their file, and this would have been discussed with them on admission. The procedure was also on display. Observation supported that the manager and staff were receptive to residents day to day worries and concerns and dealt with these sensitively. Residents were able raise any issues through the weekly house meetings, or with key workers as part of the monthly reviews. Information on complaints and the monthly review forms was available in pictorial as well as written format. No complaints have been received about the care and services provided at this home. The systems in place to safeguard residents monies have been strengthened, through daily monitoring. Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 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, 25, 26, 27, 28, 29 and 30 The standard of the environment was good, providing the people living there with a comfortable and homely place to live. EVIDENCE: The home was domestic in nature and located within a residential area. It had a homely appearance and was clean and tidy at the time of this inspection. The manager reported that there were plans to invest in the following areas: new conservatory, reupholstering of furniture on conservatory, new furniture for the main lounge, cleaning of carpets. Residents had been involved in the choosing the materials and new furniture. All residents have single rooms, and several residents choose to keep their doors locked. The bedrooms reflected the individual tastes and preferences of the residents. The home had a domestic style bathroom and separate shower room. Staff confirmed that the people currently accommodated were able to use these facilities with minimal assistance. The current resident group did not have any specific needs requiring adaptations. Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 Page 16 The laundry area was satisfactory. Staff laundered individual residents personal clothing and bedding separately. Systems were in place for dealing with soiled items. Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 Page 17 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): 31, 32, 33, 34, 35 and 36 The staff team were enthusiastic and worked positively with the residents to improve their quality of life. Residents were supported by staff competent and qualified in the role that they perform. EVIDENCE: The staff team was organised into three levels of responsibility, and an appropriate skill mix was provided on each shift. The staffing levels provided enable staff to support residents, both individually and as groups, both inside and outside the home. All new staff work through a structured induction programme and attend mandatory training as part of their induction. The home has achieved above the required 50 of staff trained to NVQ Level 2, with all except 3 of the 9 staff having achieved NVQ Level 3. Staff reported that they were offered a range of training opportunities appropriate to the care and needs of the people living at the home. All staff, including the manager, receive regular supervision. These sessions provide support for staff, and allowed for further develop, by identifying any training and development needs. The recruitment and selection procedures in place protected residents by ensuring that all of the required checks were carried out. Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 Page 18 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, 38, 39, 41 and 42 The home was run in the best interests of the residents, with quality assurance and quality monitoring providing the basis for improving the service. The manager was supported well by staff, and provided clear leadership throughout the home. EVIDENCE: People living at the home were supported by a stable staff team. The manager and the majority of staff have been in post for a number of years. The manager has completed Level 4 in management and care (Registered Managers Award). Staff support each other and work together as a team to improve the service that they provide for residents. The manager supports staff through supervision, and encourages staff to develop their skills and knowledge. Recent appointments of new staff within the company have brought about consistency in support and supervision for the manager. The manager commented that she values this support, and the supervision sessions were Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 Page 19 beneficial. Residents and staff were also supported by the company through the monthly visits. Reports from these visits were available. As part of the ongoing development of the home, residents were asked each month about certain aspects relating to the running of the home. Staff carried out this as part of the monthly review process, and one of the key questions each month was to ask whether residents were happy living at the home, or were there any issues. These questionnaires formed part of each person’s file. Records within the home were well maintained and up to date. Information was stored appropriately. Staff were provided with the required training and certificates were kept in individual staff files. The manager indicated that there were plans to develop a system for recording all staff training together, so that it was easy to identify when training was required. Systems were in place for servicing of equipment and services within the home. Records supported that equipment and services were properly maintained. Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 Page 20 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 3 X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Burton Road (703) Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 3 3 X 3 3 X DS0000019954.V263512.R01.S.doc Version 5.0 Page 21 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 Burton Road (703) DS0000019954.V263512.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Derbyshire Area Office 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. 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