Inspection on 20/07/05 for Church Road (41)

This inspection was carried out on 20th July 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

Church Road (41) 08/02/07

Church Road (41) 08/03/06

Church Road (41) 01/02/05

Church Road (41) 13/07/04

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 Church Road 41 Church Road Benington Wirral CH63 3DY Lead Inspector Beate Roth Unannounced 20 July 2005 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. Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Church Road Address 41 Church Road Bebington Wirral CH63 3DY 0151 644 9493 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) Wirral Autistic Society Jane Anne Roberts (LD ) Learning Disability 3 Category(ies) of Learning Disability 3 places registration, with number of places Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The manager is to complete her NVQ level 4 in management. 2. The manager is to be registered for 134a Allport Rd until an application to relinquish the registration of the home has been processed. Date of last inspection 01/02/05 Brief Description of the Service: 41 Church Road is registered to provide personal care for three adults with a learning disability. The home is a two storey terraced property located in a residential area. On the ground floor there are 2 lounges, a kitchen with a dining area and a toilet/cloakroom area. On the first floor there are three single bedrooms, an office/staff sleep in room, a bathroom and a separate toilet. There is a patio and a garden to the rear of the home. Parking is available on the main road. 41 Church Road is close to local shops and to public transport services. The home is run by Wirral Autistic Society who have several care homes for adults with a learning disability in the area. Wirral Autistic Society provides a range of services and facilities, which are fully utilised by the service users, accommodated at 41 Church Road. Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during an evening. During the inspection time was spent in the office examining records and policies and procedures and talking to a member of staff. A tour of the home was undertaken. A member of staff was observed delivering care to a service user. A service user was spoken with. What the service does well: What has improved since the last inspection? What they could do better: The content of the contracts/terms and conditions and the way they are drawn up could better support the interests of service users. Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Church Road F52_F02_S18975 41 Church Rd_V239577 200705 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 Church Road F52_F02_S18975 41 Church Rd_V239577 200705 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) 2 and 5 A full assessment would take place to ensure that a service user’s needs could be met. The contracts/terms and conditions could better support the interests of service users. EVIDENCE: There have been no new service users admitted to the home since the last inspection. New service users would be assessed by the manager for the home and by a representative from day services. The manager would visit a prospective service user where they are living. Information would be gathered from the service users’ carers, social worker and any other relevant agencies. An examination of an initial assessment pro forma at a previous inspection indicated that all the information recommended in this standard is available. An assessment would be made if a service user moved to the home from another home within the Society. This information would be recorded. The contracts/terms and conditions between the home and the service user were not available for inspection as they are in the process of being reviewed. At the last inspection it was recommended that service users be supported by family, friends and/or advocate, as appropriate when drawing up the contract and that clear information around any costs a service user has when they go out with staff is provided. Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 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 standard(s) 6 and 9 Care planning reflects the assessed and changing needs of service users and service users’ need for independence is balanced with any risks to their wellbeing. EVIDENCE: A sample of service user plans were inspected and contained detailed and clear information to enable staff to provide appropriate support around day-to-day living and personal goals. These plans are formulated at a service users review and cover the information required by the National Minimum Standards. A review had taken place within the last 6 months. The documentation available from reviews indicated that the service user, their relatives, social worker and other relevant individuals are invited to contribute to reviews. A service user interviewed said they are well looked after by staff. An examination of the service user plan indicated that service users’ rights to live as independently as possible, in accordance with their abilities, is promoted by the home. Risk assessments are available which indicate why service users’ rights need to be limited in order to safeguard their well being. There is evidence that agreement is reached with the service user, family and the funding authority with regard to any restrictions placed on a service users day-to-day life. Reactive plans, which detail behaviour management strategies Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 Page 10 are also available. Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 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 standard(s) 11, 13 and 15 Service users are able to take part in appropriate activities that provide opportunities for their educational, social and personal development. Service users are supported to maintain family links. EVIDENCE: Service users attend day services five days a week where they are provided with a range of opportunities to promote their personal development. Service users have a timetable of activities, which has been drawn up to meet their needs, skills and individual preferences. Some of the opportunities available are horticulture, craftwork, community work experience, drama and physical education. Activities are provided by either Wirral Autistic Society’s day services or by outside organisations such as local colleges. Service users are provided with work experience opportunities in accordance with their abilities. There are opportunities for service users to become involved in the local community. For example, the service users visit local shops, pubs, cinema, musical events, bowling and participate in community life through attendance at college courses. The home has access to private transport and there is easy Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 Page 12 access to train and bus services. Records and a discussion with a member of staff indicated that staff support service users to maintain family links. Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 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 standard(s) 18 and 19 The personal care and health needs of service users are well met. EVIDENCE: There is clear information available for staff on service users personal care routines that indicate service users preferences. Observations indicated that staff promote the privacy and dignity of service users. Consistency and continuity of support for service users is provided through the key worker system. Visits to service users from medical/health care professionals take place in private. Records of reviews indicate that service users have access to medical/health care professionals as needed. Service users are supported to attend health care appointments. Service users are supported and facilitated to take control of and manage their own healthcare in accordance with their abilities. Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 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 standard(s) 23 The practices at the home provide protection for service users. EVIDENCE: A copy of Wirral Borough Council’s adult protection procedure was available at the home. A shorter and more accessible version of the adult protection procedure has been made available by Wirral Borough Council and was at the home for staff to refer to. Staff have received training in the adult protection procedures. From discussion with a member of staff and from an examination of the financial records, the home’s policies and practices with regards to service users’ money and financial affairs safeguard service users. Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 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 standard(s) 24 and 30 The home provides a comfortable and pleasant environment for service users. EVIDENCE: The premises provide a comfortable environment for service users and are well maintained. Since the last inspection decorative work has taken place in accordance with the plan for maintenance and renewal of the home. A reassessment of the risks presented by radiators that are not temperature controlled has taken place and appropriate measures taken. Thermostatic mixing valves with lockable temperature controls are fitted to the bath and bathroom sink. A risk assessment has been carried out on the hot water outlets that do not have the temperature of the water regulated so it does not exceed 43 degrees centigrade. It continues to be recommended that design solutions that control the risk from all radiators and water that can exceed 43 degrees centigrade be provided. A risk assessment of the security arrangements provided by the doors at the home has also taken place and steps taken to increase the homes security. The home was clean, odour free and the standard of housekeeping on inspection was high. Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 and 33 Service users are supported by the number of staff available and the training they have received. EVIDENCE: An examination of the rota indicates that the home is providing sufficient staffing levels. There is one member of staff on duty at all times. For 11 hours per week there are two staff members on duty. There is a network of support provided by Wirral Autistic Society for lone workers. Lone worker risk assessments are available. There are currently three permanent staff working at the home with absences being covered by permanent or bank staff. Bank staff have been recruited to work for Wirral Autistic Society to cover absences in the homes if needed or to provide support within the day care service. A member of staff reported that the same bank staff are employed in order to promote continuity of care. A comprehensive induction and foundation training programme is provided to permanent staff. This training is also provided to bank staff so as to ensure that they are appropriately trained should they need to be deployed. 100 of staff hold an NVQ Level 2. Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 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 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) 38 and 42 Service users live in a safe environment and benefit from the management approach of the home. EVIDENCE: A member of staff reported that they consider their views regarding the running of the home are sought and listened to. This was evident in the records inspected. A clear complaint procedure is available. An equal opportunities policy is available. Staff meetings are held every 4-5 weeks. Residents meetings are held and key workers obtain the views of service users. Training on safe working practices such as manual handling, fire safety, infection control and first aid is provided to staff. There are a range of policies and procedures available that promote safe working practices. Wirral Autistic Society has a health and safety advisor who is available to provide advice and who has responsibilty for promoting a safe environment within the homes. A sample of certificates of safety tests were inspected and found to be in order. Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 2 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 x 3 x 3 x x Standard No 31 32 33 34 35 36 Score x 3 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Church Road Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x 3 x x x 3 x F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 Page 19 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 5 Good Practice Recommendations It is recommended that service users be supported by family, friends and/or advocate, as appropriate when drawing up the contract. The service user guide/contract should provide clearer information on the costs they may have to meet when going out with staff. It is recommended that design solutions that control the risk from radiators and water that can exceed 43 degrees centigrade be provided. 2. 24 Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 3rd Floor, Campbell Square 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 Church Road F52_F02_S18975 41 Church Rd_V239577 200705 Stage 4.doc Version 1.40 Page 21 - 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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