Inspection on 23/11/06 for Chestnut Street, 59

This inspection was carried out on 23rd November 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Chestnut Street, 59 12/06/07

Chestnut Street, 59 13/03/06

Chestnut Street, 59 24/11/05

Chestnut Street, 59 28/02/05

Chestnut Street, 59 13/12/04

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, 59 59 Chestnut Street Southport Merseyside PR8 6QP Lead Inspector Mr Paul Kenyon Unannounced Inspection 23 November 2006 rd Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chestnut Street, 59 Address 59 Chestnut Street Southport Merseyside PR8 6QP 01704 539505 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, 59 DS0000005270.V296726.R01.S.doc Version 5.2 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: 59 Chestnut Street is a registered care home offering support to three individuals with learning disabilities. The home provides term time accommodation for students who attend Arden College, a local educational resource that specialises in the provision of life skills to individuals with a learning disability with a view to promoting future independent living. Greta Morphet is the Manager of the service. Arden College is a subsidiary of Speciality Care, a private organisation. The home is located in a residential area of Southport, close to local amenities and transport links. The home is a semi-detached property that has not been specifically adapted for the purpose of the service. The home consists of a ground floor, which contains a kitchen, dining room and a lounge to the front. All bedrooms are located on the upper floors with two rooms on the first floor and a further one on the second floor. A bathroom is available with toilet as well as a staff sleep-in room/office on the top floor. The home is not suitable as accommodation for students with a physical disability at present. Students are able to access all parts of the home. As a result, no adaptations are required at present. Current fees are charged over a 38-week period relating to the term time occupation of students and range from £782 to £925 per week. Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection undertaken at 59 Chestnut Street and was the first inspection to be held this year. The inspection was unannounced and the home did not know that the Inspector was to visit beforehand. National Minimum Standards for Younger Adults were used to assess the quality of support provided in the service. The home provides term time accommodation for adults who are attending Arden College, which is a college aiming to enhance the life skills of adults with a learning disability. As a result, individuals living at 59 Chestnut Street are referred to students in this report. The inspection took place during the early evening given that students are usually attending college during the day. In total the inspection lasted three and a half hours. The inspection included a tour of the premises and the examination of records relating to the support provided to students. Much of the inspection was spent talking to two students who had only started to use the service since the last inspection. Many of their comments and observations are included within this report. The other student provided a detailed account of his experiences at the last inspection and did not consider that he had any more comments to make apart from the fact that he continued to be satisfied with the service. What the service does well: The service is good at ensuring that the needs of students can be met through the obtaining of assessment documents prior to them using the service as well as undertaking its own assessment of the individual over a period of two weeks. The service is good at enabling students to be aware of the main goals in daily living they wish to achieve and recording the goals as well as desired outcomes. Students are enabled to make decisions about their daily lives and in particular in dealing with their personal finances. The service is good at identifying those risks that may be involved in enabling students to increase their independence through daily living skills and in formalising these through documentation. The service is very good at enabling students to access full time education and introducing the goals of this education within to the daily domestic lives of each person. Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 6 The service is good at ensuring that students are able to have a good knowledge of the local amenities and facilities that are available to them as well as ensuring that individuals are able to maintain family and friendship links that they have established. The service is good at ensuring that the rights of individuals are respected and that all are able to be involved in the daily running of the home. The service is also good at ensuring that students are fully involved in all aspects of menu planning, shopping and food preparation. The service is good at ensuring that students are as independent as possible in maintaining their own personal hygiene and ensure that health needs are met. The service also provides an accountable system of medication and provides independence for those who wish and are able to deal with their own medication. The service provides a comfortable and well-decorated environment for students, which is clean and hygienic. The service is good at providing the information needed to ensure that students could make a complaint if the need arises. The service is good at ensuring that students are protected from abuse. The service is good at providing well-trained staff with whom students feel comfortable and consider that they are good listeners. What has improved since the last inspection? What they could do better: The service must ensure that students consider that they are asked about their views about the service through the quality assurance system. The service must reconsider the recommendations outlined by the fire authority inspection held since the last inspection. Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 7 The service must ensure that a certificate confirming the safety of the electrical wiring in the home is available for inspection. The service must ensure that fire drills are carried out more frequently. In addition to requirements, a number of good practice recommendations are also raised in this report. 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, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 8 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, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Students benefit from having their needs and aspirations assessed prior to using the accommodation at Arden College through the provision of both funding authority assessments and assessments completed by the organisation EVIDENCE: Two assessment files were examined for students who had come to live at 59 Chestnut Street since the last inspection. Both students are new to Chestnut Street but not to Arden College. Both have received support form other Arden registered homes. Both as a result are known to the organisation. Assessment information includes original assessment information from the funding authority prior to their admission to Arden College as well as the two-week assessment process they undertook while starting at the other services within the organisation at the point of admission. Included within assessment files are documents from the other services they lived at. Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 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 the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Students benefit from having their needs and aspirations outlined in a plan of care that they are aware of and is relevant to their wishes and daily lives. Students consider that they are able to make decisions and have financial independence. Students benefit from a service that takes risks associated with independent living into account. EVIDENCE: Two care plans were examined. Both had been devised in September 2006 to coincide with the admission of these individuals and these plans of care are subject to a six monthly review as evidenced within the care plan. Only one student had signed his care plan. Discussions with the other individual noted that he is not aware of the term ‘care plan’ but was able to give an account of the areas of daily living that he is working on. These were confirmed in the contents of the care plan and as result it was evidenced that the student is Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 11 sufficiently aware of the contents of his plan and the fact he has not signed it is raised as a recommendation as opposed to a requirement. The person who has signed his care plan is aware of the goals he has in relation to daily living and is aware of a particular health need that he has. This is outlined within the care plan and he is aware of the issues and has signed his care plan as a result. This person’s care plan also started in September 2006 and is again subject to a six monthly review. The care plan is a joint residential and education care plan in both cases and provides a plan of care that encompasses both parts of the students experiences during the day. All care plans are securely stored and students are aware of its contents. The Inspector interviewed two students in relation to their daily lives and the elements of this standard. Both consider that they have the opportunity to make decisions: ‘I do what I want to do and I have the choice’ ‘I can decide what I want to do’ Both students confirmed that they have their own bank accounts and retain their cash cards themselves and use them independently. Risk assessments for both individuals were viewed. These commenced in September 2006. One assessment includes reference to road safety and the associated risks with this. The other plan includes reference to his health condition and the social situations in which he will need support as a result of this. Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 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 the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Students benefit from receiving education and occupation while living at the house and as a result the level of education is such that this standard is exceeded. Students are aware of local facilities and able to pursue leisure activities other that education activities. Students benefit from being able to maintain links with their families and have are encouraged to be involved in the running of the house. Students benefit from having their rights respected. Students benefit from being involved in all aspects of the preparation of meals. EVIDENCE: Two students were interviewed in relation to each of the above standards. Their opinions and experiences form the basis for the evidence in this standard. In relation to education and occupation, all students attend Arden College and have done for some time. The care plan for each is a document that covers Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 13 social activities within both the college and home as an ongoing experience and learning process. All students attend the college full time and there are concrete links between the college and home. Many of the contents of the care plan carried out in the home are relevant to college life. Given the regular attendance of students, the reasons for them living at Chestnut Street to be able to attend the college and the degree to which the ‘learning’ process overlaps the daily life within the home and in college, this standard is considered as exceeded on this occasion. One student stated: ‘I know Southport, I live in elsewhere usually but I know all the cinemas, bowling alley, pubs an how to get there. I go to Church every Sunday and staff go with me. I do not have a bus pass but I can walk or use the minibus to get to the town. At the weekend I can have a lie in but for College I get up at 7:30 every morning’ Another student stated: ‘I go to the cinema, the theatre, bowling, laser quest, to the gym and I have a season ticket to see Manchester City who I support. I do not live around here usually but I do know Southport but I do have a bus pass and I would like one. I walk or use the college’s minibus. It is recommended that bus passes be obtained for both individuals. In relation to family links one student stated: I go out with my relations and stay with them. I am going to stay with them this weekend. I can phone my mum and dad up when I want and do not have to ask permission I just tell staff that I am using the phone’ Another stated: ‘ I stay with my mum and dad sometimes and I can keep in touch with them’ The home also plays guest to other students from other houses. Visits took place the night before and a further visit from other friends was anticipated later that evening. All students use local community for leisure. In respect of daily routines, two students were asked about the privacy they receive. They confirmed that ‘staff knock on their bedroom doors when they are in them’ ‘Yes they always knock’ Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 14 There was evidence that all three students are addressed by staff in their preferred way. On many occasions during the inspection, the staff member on duty was noted to interact with students on a friendly basis and provided one to one interactions and advice to students if they need it. Two students stated: ‘staff are the best’. There were many instances during the visit of students preferring to be on their own yet generally students did enjoy each other’s company. Examples of recent individual activities pursued included one student going to going to church each Sunday and another person going to watch a Premiership football teams given that he has a season ticket. All students were observed accessing all parts of the house during the inspection. A rota is available for housekeeping tasks with one person to set the table, another to prepare the meal with staff support and the other to dry dishes. All students were observed doing this during the visit. A Rota is on display and students seem to enjoy doing this. One person was observed vacuuming during the visit, as was another person. They confirmed that they enjoyed doing this. No students smoke and no students need any aids and adaptations such as guide dogs etc. given that all are able to mobilise independently. It is recommended that doorbell be fixed. In respect of meals, two students confirmed that they shop, plan meals and help to prepare meals. One student was observed preparing the meal for that night and did so with minimal staff supervision as was appropriate. A menu is on display but is flexible. The meal being prepared was Spaghetti Bolognese. A dining area is available and staff generally eat with students. No student would appear to have any specific nutritional requirements. This information was noted in care plans. The kitchen is domestic in scale and staff prompt students in respect of hygiene. Two students confirmed that they shop on Fridays. A refrigerator and freezer are available for the storage of food. No students have any cultural needs that impact of their diet. Menus evidenced that they have breakfast at home, lunch at college in the week and a cooked meal in the evening. Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 15 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): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Students benefit from receiving the personal support they require and have their health needs met. Medication systems are safe. EVIDENCE: Interviews with two students noted the following comments: ‘I can get dressed and bathed myself-I need help with shaving and staff help me to do this on my own- I can wear what I want’ ‘I get up myself and do not need any help and I can choose what I want to wear’. As a result personal care to students does not involve intimate personal care but is reliant on prompting. Other evidence included notes for students to ensure that they have attended to their personal care needs. This was present in one bedroom and served to remind the individual of personal care routines. All students are registered with a General Practitioner and all have National Health Service registration cards available for all students. Two confirmed the Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 16 address of their doctors. One student said that he was keeping well and had not needed to go to the Doctor. Another student has a health issue at present. He was observed discussing this with a member of staff. Reports in the daily diary indicated the frequency of this health issue and it was confirmed through his discussions with staff that he was concerned about it. He confirmed he has been to the Doctors and is prescribed medication. A further return to the Doctor is necessary and will be undertaken. His medical needs are recorded and monitored at present. All students confirmed that they need support from staff to attend appointments. Although general they felt well at the moment. Medication is stored securely in a purpose-built cabinet located in the staff office, which in turn is locked when not in use. Administration records are available and are appropriately signed. One person self medicates and he confirmed this. A risk assessment confirmed he is able to do this. One other person relies on staff to administer medication and the other person is not prescribed medication. All medications received are recorded in a book although it is recommended that the medication record sheet could be used for this purpose. No controlled medications are prescribed at present. Evidence was available suggesting that staff on duty had had medication awareness training. Records indicating the disposal of medication records are available. Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Students have the information to make a complaint is they so wish and are confident that any complaints they have would be taken seriously. Students are protected from abuse. EVIDENCE: Interviews with two students noted that both were clear that they would refer any complaints to the Unit Manager. They further stated that they had no complaints and were happy with the support they received. A complaints procedure is available and is on display. All students are able to read and the procedure is in symbols anyway as well as written text. Complaints records revealed no complaints for some time and no complaints have been received by the Commission for Social Care Inspection. A Complaints procedure is in place for relatives and others and includes the contact details of Commission for Social Care Inspection Local Office. Two students stated that they felt safe in the home and no allegations of abuse have been reported. The organisation has policies and procedures and the Registered Manager serves as an abuse co-ordinator in the event of any allegations being made. Physical or verbal aggression is not a feature of students at present although all staff have recently attended a control and care course which discussions with the staff member on duty noted that this had focussed on diffusing technique rather than physical intervention. Guidelines for staff in relation to involvement in student financial interests are included Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 18 within a staff handbook. A whistle blowing procedure is on display and includes reference to the Commission for Social Care Inspection. An anti-bullying procedure is available for students and indicates that this will not be tolerated although the Unit Manager at present considers that this is not an issue and that all students are getting on with each other at the moment. Students retain their bank account cash cards and the staff team does not deal with these. Training records noted that all staff have attended abuse awareness training. Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 19 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Students benefit from living in a well decorated, clean and hygienic home EVIDENCE: A tour of the premises was undertaken. The front door has no doorbell and this has already been raised as a recommendation in this report. The front hallway is presentable. A front lounge is available containing a three-piece suite in place, television and curtains ensuring privacy. The room is home-like in appearance. The kitchen is domestic in scale and is clean. Information is now in place for staff to ensure that they are aware of infection control guidelines given that the washing facilities are included within the kitchen A dining room is available with sufficient seating for all. A computer is also available and linked to the Internet. Two bedrooms are on first floor as well as a Bathroom/toilet. A lock is provided on this as well as bath and shower. All areas are pleasantly decorated. There are no issues at present with the exterior of the home and no offensive odours noted though the home. Two students commented that they liked the house. The home is close to local Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 20 facilities and blends in with the local community. An issue concerning fire systems is raised in Standard 42 of this report. Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 21 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): 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Students consider they are listened to by staff on a day-to-day basis. Students receive support from a staff team who are appropriately trained. EVIDENCE: Two students commented: ‘staff are the best, and staff are the best part of this house’. Students felt that staff listen to them. There was evidence of this through the observation of a discussion between staff and one student in respect of a health need that he had. The member of staff was able to offer support and reassurance. Continued support was provided to students during cooking and advice was readily given. Staff are clearly an important link for students and positive comments remain. No recruitment files examined during this inspection given that no new staff members have come to work at the home since the time the files were last examined. Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 22 Training records noted that all mandatory training and other training had been undertaken in respect of: Moving and handling Fire safety Health and safety Control Of Substances Hazardous to Health Food Hygiene First Aid Protection of Vulnerable Adults Training Infection control Challenging behaviour Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 23 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): 37,39,40 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Students benefit from a well managed service. Students do not consider that their views are always taken into account through the quality assurance process. The health and safety of students and staff is not always consistently promoted. EVIDENCE: The home’s management structure works in two ways. The Registered Manager is responsible for other registered student accommodation run by the same organisation. In addition to this the home has a Unit Manager who was present during the visit. The Registered Manager has been approved by the Commission for Social Care Inspection and is qualified to perform the role having the necessary experience in addition to this. The Unit Managers role is Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 24 to deal with the day-to-day issues that students have as well as supervise the staff team. A Quality assurance is in place provided by monthly visits to the service to assess the quality of the support given. Two students did not consider that their views were taken into account during this process. This is raised as a requirement in this report. The staff member fully co-operated with the Inspector during the visit and all requirements raised at the last inspection had been met. The organisation’s policies and procedures were viewed as part of this inspection. They were devised in 2004. It is recommended that they are updated and reviewed if necessary. In respect of health and safety, an external light now put into place which better safeguards students and staff when using the back door during hours of darkness. Staff training records now noted that all statutory health and safety training has been done. Fire records indicate that smoke detectors are checked regularly and that firefighting appliances have been serviced within the last twelve months. No fire drill has been undertaken of late and this is a requirement. Since the last inspection, a visit by a fire officer has identified a number of observations in relation to the fire detection systems. There is no evidence that this has been considered and it is required that this is done. Certificates/records indicated that: Fire alarms tested Accidents/Incidents recorded Gas certificate in place Legionella check completed Certificate of insurance in place Portable appliances tested Last health and safety check-September 2006 A Tour of premises noted that thermostatic valves to regulate water temperature were in place as well as window restrictors. No electrical wiring certificate confirming the safety of this system could be produced. This is raised as a requirement in this report. Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 N/A 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 3 X 2 X Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 26 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 YA39 Regulation 26 Requirement The person carrying out Regulation 26 visits shall: (a) interview, with their consent and in private, such of the service users…in order to form an opinion of the standard of care provided in the care home The registered person shall after consultation with the Fire Authority make adequate arrangements for detecting and containing fires. The registered person shall having regard to the number and needs of service users ensure that the premises to be used as the care home are of sound construction and kept in a good state of repair internally Timescale for action 01/01/07 2 YA42 23 31/12/06 3 YA42 23 01/12/06 4 YA42 23 The registered person shall make 01/12/06 arrangements for persons working at the care home to receive suitable training in fire prevention; and to ensure, by means of fire drills and practices and suitable intervals, that the persons working in the care home and, so far as practicable, DS0000005270.V296726.R01.S.doc Version 5.2 Page 27 Chestnut Street, 59 service users, are aware of the procedures to be followed in case of fire… 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 2 3 4 5 Refer to Standard YA6 YA13 YA16 YA20 YA40 Good Practice Recommendations The student referred to at the inspection should sign their care plan Two students referred to at the inspection should be provided with bus passes The front door bell should be fixed Medications received should be included within the medication administration record It should be considered that the home’s policies and procedures are reviewed and updated if necessary. Chestnut Street, 59 DS0000005270.V296726.R01.S.doc Version 5.2 Page 28 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. 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