Inspection on 22/11/05 for Chestnut Street, 57

This inspection was carried out on 22nd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Chestnut Street, 57 01/12/06

Chestnut Street, 57 25/01/06

Chestnut Street, 57 10/02/05

Chestnut Street, 57 17/03/04

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 Chestnut Street, 57 57 Chestnut Street Southport Merseyside PR8 6QP Lead Inspector Miss Orla Murphy Unannounced Inspection 22nd November 2005 3:30 Chestnut Street, 57 DS0000005274.V269152.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 Chestnut Street, 57 DS0000005274.V269152.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. Chestnut Street, 57 DS0000005274.V269152.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chestnut Street, 57 Address 57 Chestnut Street Southport Merseyside PR8 6QP 01704 540993 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) Speciality Care (Rest Homes) Limited Mrs Greta Morphet Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Chestnut Street, 57 DS0000005274.V269152.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 3 LD Date of last inspection Brief Description of the Service: 57 Chestnut St is a three -storey property, located near central Southport, on a quiet residential street. The home provides care & accommodation for up to 3 young adults with Learning Disabilities. All three residents must attend Arden College as this home is linked to college placement. The home is owned by Speciality Care Limited, which is a subsidiary company of Craegmoor Healthcare. The Registered Manager is Greta Morphet. The house has 4 bedrooms, a lounge, a dining area and a bathroom. The home is close to the college, local shops/leisure facilities, sports facilities, entertainment and restaurants. Local transport is good and buses access Southport centre, Lancashire & Liverpool. Trains are available reasonably nearby. Parking is available on the street outside the home. Chestnut Street, 57 DS0000005274.V269152.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and neither residents nor staff knew the Inspector was coming. The last inspection report was examined and some requirements needed to be followed up on this visit. The Inspection was the first in the home’s required visits, which are 2 inspection visits per year. 1 student and 1 staff were spoken to at the inspection. One student was “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more students to get an idea of what is like to live there and how that person’s needs are being met. Case tracking also shows the inspector where needs aren’t being met. A variety of records (care plans, medical notes, complaints records, assessments, medication sheets, meeting minutes, menus, timetables, staff rotas and significant events) were examined. The bedroom of the student(s) case tracked and communal areas were also examined. What the service does well: The service provides a very successful & meaningful education to students. They operate a “24 hr” curriculum, which basically says that everything students do is a learning experience. Students attend college daily and learn, but activities in the evening and at weekends are also a learning experience, for example cooking, cleaning, travel, budgeting, sharing, group living, accessing the community. The service is also very good at giving young adults with learning disabilities good lifestyle opportunities and experiences and enabling independence, such as attending sports, clubs, pubs and restaurants. Many will have had only few experiences in these areas. Chestnut Street, 57 DS0000005274.V269152.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chestnut Street, 57 DS0000005274.V269152.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 Chestnut Street, 57 DS0000005274.V269152.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. The Service carries out detailed and skilled assessments of students, which identifies their needs, and develops good plans to meet those assessed needs. EVIDENCE: The assessment of the student case tracked was examined in detail. An assessment from the placing authority & school was on file. A week’s stay in a college home prior to deciding to move to college was carried out and college & residential staff carried out a Baseline assessment during this time. This document formed the most up to date assessment & is the basis for the Individual Learning Plan. The student case tracked explained her ideas about the areas she needed help in. Some were the same as those written in his assessment, with some additional ideas that related more to her future. Staff spoken to knew a lot about both students and their strengths and needs. Chestnut Street, 57 DS0000005274.V269152.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 & 8. The service supports students through their Individual Programme plans to develop skills and strengths in areas they need support in. The service supports students to learn educational, vocational and life skills. Students are consulted in a variety of ways. EVIDENCE: The Individual Programme plans for the student’s case tracked recorded a plan for all staff and the student to follow in the areas of education (Studies/vocational training), cooking, personal care, socialising, travel, assertiveness, communicating and leisure interests. This student told the inspector “ Its good here. I’ve been able to do lots of things I’d like to try, like horse riding. I’m going to get some work experience with horses”. She also said “ I really like being here”. She said the group has a regular students meeting where they talk about lots of things; food, activities, events, staff and things they are annoyed or concerned about. The minutes of the students meetings were examined and showed they were positive events, which discussed the issues detailed previously. Students also have a student committee in college and each has weekly tutorials with their teacher where progress, concerns and successes can be addressed. Chestnut Street, 57 DS0000005274.V269152.R01.S.doc Version 5.0 Page 10 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): 11,13 & 15. The service enables students to be involved in every day experiences and opportunities. The service supports students in learning and developing toward independence at their level. Family support and contact is encouraged. EVIDENCE: The student case tracked both had weekly timetables that covered both college and home activities. These were examined and showed they have A wide range of experiences and learning opportunities such as Hairdressing, life skills, drama, catering, beauty therapy, basic skills, archery, communication and personal care. These sessions were recorded and were cross referenced with plans for sessions and evaluations for their personal Targets. All these documents were seen and were up to date. The evaluations for the student case tracked showed good improvements in her social skills, confidence and accessing the community. She said “ I visit my family in the holidays (term break) and they call me here; staff sometimes call home for me and I talk to them”. Daily records showed the family contact that is maintained. Chestnut Street, 57 DS0000005274.V269152.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The service supports students to be as independent and safe as possible, whilst realising support and supervision is needed to help them support Themselves. EVIDENCE: The student case tracked said, “ I do PHSE (personal care/life skills) at college and learn about looking after myself”. This was supported within her individual plan, commenting upon progress in this area and guidance where support was needed. She said she has a GP in the area & said she’d tell staff if she was ill. Daily records seen were detailed in monitoring mood and well being of those case tracked. Doctor/Health appointments/visits were recorded in their files. Discreet references to personal care given were in the daily records and were the same as those written in their assessments. Staff spoken to were very aware of the support needed by all the students. Chestnut Street, 57 DS0000005274.V269152.R01.S.doc Version 5.0 Page 12 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 Students feel able to voice their concerns. EVIDENCE: The student case tracked listed several people she felt able to talk to if she were upset or concerned or frightened. A pictorial version of the complaints procedure is on display in the home. The minutes of students meeting showed that general minor concerns were addressed openly and dealt with by staff & students. There have been no complaints direct to CSCI or the home since the last inspection. Chestnut Street, 57 DS0000005274.V269152.R01.S.doc Version 5.0 Page 13 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 Students live in a comfortable, homely environment but some fire safety recommendations would add to the safety of the environment. EVIDENCE: The home is very homely, attractive and comfortable. Communal areas are inviting and well furnished. The fire risk assessment carried out recommended that the smoke detector system be linked to enable the earliest possible fire detection but this has not been acted upon. Given the location of bedrooms & the staff sleep in room it would be unwise not to maximise detection and evacuation opportunities. Chestnut Street, 57 DS0000005274.V269152.R01.S.doc Version 5.0 Page 14 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): None of these standards were assessed at this inspection. EVIDENCE: None of these standards were assessed at this inspection Chestnut Street, 57 DS0000005274.V269152.R01.S.doc Version 5.0 Page 15 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): 42. The health & safety of students is not fully protected. EVIDENCE: No safety certificates were available for either the gas or electrical system. This must be addressed as urgency & certificates kept in the home available for inspection. Fire safety checks & drills were recorded, up to date & satisfactory. A fire risk assessment was carried out in June 2005. The risk assessment identified that the smoke detector system should be linked to enable the earliest possible fire detection but this has not been acted upon. Given the location of bedrooms & the staff sleep in room it would be unwise not to maximise detection and evacuation opportunities. Chestnut Street, 57 DS0000005274.V269152.R01.S.doc Version 5.0 Page 16 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 4 X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X X LIFESTYLES Standard No Score 11 4 12 X 13 4 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Chestnut Street, 57 Score 3 X X X Standard No 37 38 39 40 41 42 43 Score X X X X X 1 X DS0000005274.V269152.R01.S.doc Version 5.0 Page 17 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 2 3 4 Standard YA42 YA42 YA42 YA41 Regulation 16 16 16 17 Requirement The electrical system must have a valid safety certificate. The gas system must have a valid safety certificate. The fire risk assessment recommendations should be carried out. Safety certificates & checks of systems must be retained in the home for inspection. Timescale for action 04/01/06 04/01/06 12/02/06 04/01/06 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 Chestnut Street, 57 DS0000005274.V269152.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Chestnut Street, 57 DS0000005274.V269152.R01.S.doc Version 5.0 Page 19 - 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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