Inspection on 25/01/06 for Chestnut Street, 57

This inspection was carried out on 25th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 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 22/11/05

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 25th January 2006 4:00 Chestnut Street, 57 DS0000005274.V280495.R01.S.doc Version 5.1 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.V280495.R01.S.doc Version 5.1 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.V280495.R01.S.doc Version 5.1 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.V280495.R01.S.doc Version 5.1 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.V280495.R01.S.doc Version 5.1 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 second 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: What has improved since the last inspection? There were no identified improvements since the last inspection but areas the home does well remain of a good standard. Chestnut Street, 57 DS0000005274.V280495.R01.S.doc Version 5.1 Page 6 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.V280495.R01.S.doc Version 5.1 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.V280495.R01.S.doc Version 5.1 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): None This standard was exceeded at the last inspection. EVIDENCE: This standard was exceeded at the last inspection. Chestnut Street, 57 DS0000005274.V280495.R01.S.doc Version 5.1 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): 7&9 Students make decisions about their own lives with support. Students take risks as part of their development and independence. EVIDENCE: The student case tracked has lived at the home since September last year. She says staff are “good” and “help me with my work experience and going out”. We talked about the student council at college where other students can approach representatives about concerns or issues they want raised. There are student meetings regularly at Chestnut St. Minutes seen showed that at these meetings the students discuss the menus, issues around group living (such as respecting each other), plans for activities and concerns they may have. As the college runs a 24-hour curriculum, this means learning is incorporated into home life as well as at college. So, days are quite structured but the students spoken to were very satisfied with this and feel sessions such as cookery and shopping make them more confident and independent. The student case tracked said she felt able to make decisions about her life but she also felt she would ask staff and her family for advice where necessary. The student case tracked had detailed risk assessments on file & these were appropriate, covering areas the student needed extra supervision and support in. These risks were also identified in her Individual Plan (of care) and Chestnut Street, 57 DS0000005274.V280495.R01.S.doc Version 5.1 Page 10 reviewed regularly. They covered risks in the home, the community and individual vulnerability. Chestnut Street, 57 DS0000005274.V280495.R01.S.doc Version 5.1 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): 12, 16 & 17. Students are fully involved in appropriate activities of their choice. Rights and responsibilities are encouraged as part of student’s development. Students have a healthy and varied menu, which they plan themselves. EVIDENCE: The student case tracked had a weekly timetable that covered both College and home activities. This was examined and showed she has a wide range of experiences and learning opportunities such as Health & Beauty, life skills, drama, catering, horticulture, basic skills, 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. This student said she really enjoyed the different sessions. In addition, a display of information on students is in place and this highlighted several community activities that are favourites, including bowling, pub, cinema, theatre, disco, meals out, sports centres and shopping. Pictures of group events were also on display. The students were going out to various activities on the evening of the inspection. Chestnut Street, 57 DS0000005274.V280495.R01.S.doc Version 5.1 Page 12 Responsibility is a key part of student’s individual plans. Those seen showed that student’s need to understand their learning goals and the responsibility these give them. The student case tracked was aware of this in terms of her progress. She was fully aware what areas she was good at & those she needed more support with. Some students have behaviour agreements where they agree to abide by certain rules to help them address issues they may have and all students abide by an agreement (when they move in) that addresses areas such as bullying, group living, attendance record and behaviour. Students choose the menu together at group meetings. The menu is in both a written and picture format, which helps students who have difficulty reading. The menu was examined and showed meals were varied and nutritious. All three students were observed being fully involved in a step-by-step preparation of the evening meal, which they accomplished very well and enjoyed together. Chestnut Street, 57 DS0000005274.V280495.R01.S.doc Version 5.1 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): 19 & 20. Student’s health needs are met. Medication administration systems are satisfactory. EVIDENCE: All students are registered with a local General Practitioner (GP) on starting college. The student case tracked looked through her file with the inspector and pointed out GP visits and talked about the treatment she received. She also talked about staff helping her one day recently when she was unwell. She said she would always tell staff if feeling ill and they were very helpful when she needs support with this. An examination of the file showed that all health care appointments were recorded. Treatment received and the outcomes of the appointments were also recorded satisfactorily. Medication administration records and storage was examined and found to be satisfactory. Procedures regarding safe handling of medicines were satisfactory. Chestnut Street, 57 DS0000005274.V280495.R01.S.doc Version 5.1 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): 23 Residents are protected from abuse, neglect & self-harm. EVIDENCE: All staff have undergone Protection Of Vulnerable Adult (POVA) training and the home follows the local authority’s POVA procedure. Daily records are maintained noting observations in well-being & welfare. Staff spoken to are very committed to residents welfare and protecting residents where appropriate. The resident case tracked held a risk assessment on file relating to their vulnerability. No allegations of abuse have been reported to CSCI in the last inspection year. Chestnut Street, 57 DS0000005274.V280495.R01.S.doc Version 5.1 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): 30 The home is clean and hygienic. EVIDENCE: All communal and some bedroom areas were seen on the evening of the inspection. All these areas were clean, tidy, comfortable and well maintained. Students are responsible for general upkeep of their bedrooms and chores around the house as part of their independent living skills. They were observed doing these after college and were working well in this area together. Chestnut Street, 57 DS0000005274.V280495.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 32 & 35 A competent staff team supports students, but training records were not available for inspection. EVIDENCE: Staff were observed being supportive, respectful and professional with students. Students spoken to all stated that staff were helpful and they listened to them. Records were well completed and staff had kept Individual plans, reviews and targets up to date. Staff are aware of students individual needs and each students goals/targets. However, staff training records, of courses attended and planned training were not available for inspection as they have been previously. Copies of training attended and scheduled training must be held, available for inspection, in the home. Chestnut Street, 57 DS0000005274.V280495.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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, 39 & 42 Students home is well run by the staff group. Students have input into the day-to-day running of the home and give formal feedback annually. The health & safety of students is not fully protected. EVIDENCE: A manager of some of the smaller group homes manages the home. In addition, a named Manager is also in the home. This appears to work well and staff work alone on shift, including the Manager. The systems in the home run well and students are very aware of staff role and who to go to if they are worried or upset. Students and relatives, to determine satisfaction with the service, complete annual questionnaires. These are collated and senior management within the Chestnut Street, 57 DS0000005274.V280495.R01.S.doc Version 5.1 Page 18 organisation addresses issues; which was found to be satisfactory. Annual audits are also carried out. No safety certificates were available for either the gas or electrical system for the second time this year. This must be addressed as urgency & certificates kept in the home available for inspection. Chestnut Street, 57 DS0000005274.V280495.R01.S.doc Version 5.1 Page 19 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 X 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 X 23 3 ENVIRONMENT Standard No Score 24 X 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 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X 3 X 3 X X 1 X Chestnut Street, 57 DS0000005274.V280495.R01.S.doc Version 5.1 Page 20 Yes 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 Standard YA42 YA42 YA41 Regulation 16 16 17 Requirement The electrical system must have a valid safety certificate. The gas system must have a valid safety certificate. Safety certificates & checks of systems must be retained in the home for inspection. Timescale for action 01/03/06 01/03/06 01/03/06 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.V280495.R01.S.doc Version 5.1 Page 21 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.V280495.R01.S.doc Version 5.1 Page 22 - 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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