Inspection on 27/09/05 for Carnatic Road (16)

This inspection was carried out on 27th September 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

Carnatic Road (16) 21/11/06

Carnatic Road (16) 30/01/06

Carnatic Road (16) 08/11/04

Carnatic Road (16) 23/04/04

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 16 Carnatic Road 16 Carnatic Road Mossley Hill Liverpool L18 8BZ Lead Inspector Pat Kearney Unannounced 27 September 2005 4.30 pm th 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. 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Carnatic Road (16) Address 16 Carnatic Road, Mossley Hill, Liverpool, L18 8BZ 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) 0151 724 4856 0151 724 4856 Community Integrated Care Mrs Patricia McLahlan PC Care home only 3 Category(ies) of LD Learning Disability 3 registration, with number of places 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8.11.04 Brief Description of the Service: 16 Carnatic Road is a small care home registered for three adults with learning disabilities. The home is part of Community Integrated Care which is a registered charity caring for people with special needs and the elderly. The home has been registered since 1999, and is situated in a quite residential area of Mossley Hill, Liverpool 17. The home is domestic in setting and as it is a bungalow, all of the bedrooms are on the ground floor. There is a lounge and separate dining room, kitchen and utility room/office which houses the laundry facilities.There is a private enclosed garden to the rear and front of the house with seating areas. There is twenty four hour care available at the home which includes waking night staff. The home does not provide any nursing care. 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory unannounced inspection took place on 27th September 2005 and lasted over three hours. A full tour of the premises took place. A range of records such as care plans, Essential Lifestyle Plans, staff personnel files, policies & procedures and medication charts were examined. The Registered Manager was on duty. Staff on duty and the three service users were spoken to during the course of this inspection. Service users relatives were contacted by telephone following the inspection to seek their views about the service. What the service does well: What has improved since the last inspection? The manager has been registered by the Commission for Social Care Inspection, relatives commented that over the past year her leadership and management in the home has led to a number of improvements. The staff group have clear direction and work as a more cohesive team, welcoming the increased opportunity to develop new skills through the enhanced training and development opportunities. Staff morale is high and the staff have a good understanding of the service users’ support needs. Advice has been sort from a number of healthcare professionals, equipment has been obtained to meet the individual needs of the service users and 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 6 protect the health and safety of staff. This additional equipment and new ways of working has improved the quality of life for service users. The environment within the home has improved in numerous ways, which has made the home more comfortable and homely. Service users bedrooms are individualised and reflect their hobbies and interests. Staff are creating a collage of the service users life events, which will be hung on the service users bedroom wall. The organisation of records and required documents also evidenced a more orderly approach. 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 contacting your local CSCI office. 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 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 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 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) 1.2.3.4.5. The homes Statement of Purpose and Service Users Guide are well written and comprehensive providing service users and/or their representatives and any potential service users with details of the services the home provides enabling an informed decision about admission to the home. EVIDENCE: Since the last inspection the homes Statement of Purpose and Service User Guide have been reviewed and updated. A copy of the Service Users Guide is kept in each of the service users bedrooms. A copy of the Service User Guide has also been forwarded to the service users next of kin. All three service users currently living at the home has been resident there for a number of years. The original assessment documentation has been archived in Community Integrated Care head office. Each service user has an Essential Lifestyle Plan (E. L. P) which is reviewed and updated annually. This document is intended to cover every aspect of a service users life and includes their preferences, choices, hobbies and interests and provides a detailed insight into the person being cared and the lifestyle they wish to have This plan is especially useful as the services users have severe communication difficulties. The Registered Manager said that all three service users had visited the home several times prior to being admitted. The Manager confirmed that any future 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 9 service users would be able to visit prior to admission and their family and friends would be included in the process Copies of costed contracts are kept on service users files. 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 10 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) 6.7.8.9.10 The individualised care plans of each service user clearly evidence how the service users needs and goals are met on a daily basis. EVIDENCE: All service users in the home have a comprehensive and detailed individual care plan, which is formulated on admission to the home. The Registered Manager and key-workers regulary review these documents. Daily health records are documented on each shift for each service users, and this includes any critical incidences plus any visits from GPs, specialists, etc. Care plans are comprehensive and contain very detailed information regarding the individual needs of the service users. Each service user has an Essential Lifestyle Plan ( E.L.P) which records service users individual choices and preferences interests and hobbies, social history, daily routines and documents what is important to the individual service user. Personal and environmental risk assessments are completed for each service user 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 11 Care plans show that service users and /or their relatives are involved in the care planning and review process. Full involvement of NHS and other healthcare professional agencies was clearly evident on all service user care plans examined. 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 12 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) 11.12.13.14.15.16.17. Service users are actively encouraged and supported by the staff team to participate as much as possible in age appropriate activities , which enhances their quality of life. EVIDENCE: All three-service users at Carnatic Road have an Essential Lifestyle Plan, which details their individual interests hobbies and aspirations. The information in the E.L.P. and care plan forms the basis of the activities service users participate in. All three service users require the support of staff to participate in any social or leisure activities. Family members spoken to said that “ Staff work hard to ensure that the service users are provided with all sorts of leisure opportunities- which they enjoy” One relative commented that over the past year there had been an increased number and variety of events taking place. Relatives confirmed that they are invited to attend any of the functions held at the home and are kept updated and are included in reviews of care. 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 13 Since the last inspection a number of events and activities have taken place these have included Birthday barbeques, all three service users have enjoyed a holiday. One service user who likes the Beatles was taken to the “Matthew Street Festival” his interest in aeroplanes was recognised by a visit to the air show and local airport. Service users have also enjoyed visits to the bowling alley, the cinema. Trips to Blackpool, having friends around to the home for a takeaway meal, visiting Delamere Forrest and the Hydrotherapy pool. All three service users are taken in their transport to the “Light Room “ which is in Hoylake Wirral. The staff take photographs during the various events and are currently making collages which records the service users individual life events, family and friends these when completed will be hung in the service users bedrooms reminding them of their life events to date. The meals at the home are good offering both choice and variety. All three service users need assistance with feeding during the inspection, this was observed as being undertaken in a discreet and unhurried way. Each service user is weighed three monthly and this is recorded in their care plan. 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 14 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) 18.19.20.21. Medications are managed safely in accordance with the National Minimum Standards. The staff has a good understanding of the service users’ support needs. This is evident from the positive relationships, which have been formed between the staff and service users. EVIDENCE: No current service user in the home self medicates, medications for service users are administered by the key-workers in the home. The protocols for the receipt, storage, disposal, and documentation of medications in the home are in accordance with the National Minimum Standards (NMS). All three service users at the care home require the intervention of staff for all their personal support and health care needs. Staff spoken to during the inspection were fully aware of the personal support needs of the service users and how important it was that those needs should be met in a way that is sensitive to the service users preferences. There was evidence in the care plans that a number of health and social care professionals had recently been involved in reviewing the service users needs. 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 15 Service users have an annual health check together with regular visits to the GP, dentist, optician and other healthcare professionals. Details of all planned visits are recorded. Information and advice given by healthcare professionals is also recorded. The Manager informed the inspector that relationship between the service users G.P. surgery and district nurses is very good. The manager said she is asking an occupational therapist to visit the home to asscess a service for a new profiling bed which will prove invaluable in maintaining his tissue viability. 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 16 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) 22.23. Carnatic Road has a comprehensive complaints system The home’s commitment to ongoing training and development helps protect the service users from neglect. Appropriate checks are made on all staff to ensure the protection of service users. EVIDENCE: A clear complaints policy and procedure is available for both service users and their representatives. Included in this are contact details of the local CSCI. Office. All three service users are unable to communicate verbally but staff said that they were able to use non verbal communication if they were unhappy. Relatives spoken to said they were confident that any concerns they had would be listened to and acted upon. Relatives are sent questionnaire annually to asscess their satisfaction with the service provided. Staff training files evidenced that protection of vulnerable adults training is commenced on induction for all staff, and is annually updated. The member of staff spoken to confirmed that training on abuse and adult protection issues had been given and is updated on a regular basis All staff at the home have had appropriate checks made on them to ensure that the service users are protected. No complaints have been received either by the Commission or Carnatic Road since the previous inspection. 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 17 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 18 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) 24.25.26.27.28.29.30. The standard of the environment within Barnsbury Road is good, providing service users with an attractive and homely place to live. EVIDENCE: The home is situated in the Mossely Hill area of Liverpool and is close to Sefton Park, shops and other amenities. The home is a three bedroom bungalow leased from Maritime Housing Association. The home is warm, comfortable and homely and on the day of the inspection odour free. Each service users bedroom is individualised to reflect their personal taste and preferences, all three service users bedrooms have tracking equipment to with individual slings to assist safe moving and handling. Since the last inspection there have been a number of improvements to the homes environment this has included in the communal lounge two new settees have been purchased. Garden furniture has been maintained and painted a 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 19 patio and path has been created in the rear garden and lots of new plants and shrubs have been planted. The manager said she was planning to have a sensory garden installed by the next summer. Laminate flooring has been fitted in the bedrooms, lounge and dining room. There was evidence of a slight tear in the lounge wallpaper and in one of the service users bedrooms the manager said that the home was due for redecorating in January 2006, and that staff had attempted to ”make good the damage until the redecoration took place “. Since the last inspection a new cooker and fridge has been purchased, however, the kitchen units and decor were looking dated and a recommendation was made to consider including the kitchen in the refurbishment programme. Fire and other safety certificates were in date and valid 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 20 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) 31.32.33.3435.36. Staff morale is high resulting in an enthusiastic staff group that works positively with service users to improve their whole quality of life. EVIDENCE: The personnel files reviewed showed that a rigorous recruitment and selection process is in place an Enhanced Criminal Records Bureau (CRB) Vulnerable Adults (POVA) checks, plus reference checks are completed prior to any staff being employed. Agency staff are never used at the home. A random selection of staff personnel files were examined all seen evidenced ongoing mandatory and specialist training. A detailed induction is given to all staff along with regular supervisions and appraisals. Two staff have completed N.V.Q. Level 2 another is working towards the award. Relatives spoken to as part of the inspection commented that” the staff group work hard to ensure that the service users receive the best possible care and are aware of the individual needs and preferences of the service users”. 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 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 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) This is a well run home with good leadership, and quality assurance processes are in place to ensure the service user’s best interests are safeguarded and protected. EVIDENCE: Since the last inspection the manager has been registered with the Commission for Social Care Inspection. There have been numerous improvements in the care practices and environment at the home since she was appointed. Relatives spoken to confirmed that” they had seen numerous improvements at the home” since she has been appointed. All necessary certificates such as gas, electric and risk assessments were up to date. Service user specific risk assessments are also in place, with updates and reviews involving the service user and or their relatives were seen. 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 22 The inspector spoke to the staff who were on duty, staff informed the inspector that they enjoyed their work and felt supported. Quality assurance is undertaken in-house and via the company’s own audit process. The Operations Manager visits the home monthly and completes the Regulation 26 audit. Service user’s views and involvement is sought as far as possible, and the results of audits are made available to interested parties, including the CSCI. Policies and procedures are in continuous review All records are kept in accordance with the Data Protection Act 1998, in a safe, limited access facility. 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 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 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 16 Carnatic Road Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 24 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 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. 1. Refer to Standard Y.A.24 Good Practice Recommendations The kitchen fittings and decor are beginning to appear dated and it is recommended that consideration is given to include the kitchen in the refurbishment programme. 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Liverpool Area Office 3rd Floor, 10 Duke Street Liverpool L1 5AS 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 16 Carnatic Road F52 F02 S25235 16 Carnatic Road V247451 050905 Stage 4.doc Version 1.40 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. 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