Inspection on 13/12/05 for Church Road Respite Service

This inspection was carried out on 13th December 2005.

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 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 Respite Service 17/04/07

Church Road Respite Service 04/11/04

Church Road Respite Service 20/04/04

Church Road Respite Service 07/10/03

Church Road Respite Service 13/02/03

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Church Road Respite Service Church Road Respite Service 52-54 Church Road Thornton Cleveleys Lancashire FY5 2TX Lead Inspector Ms Janet Spink Unannounced Inspection 13th December 2005 09:00 Church Road Respite Service DS0000035977.V250656.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 Church Road Respite Service DS0000035977.V250656.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. Church Road Respite Service DS0000035977.V250656.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Church Road Respite Service Address Church Road Respite Service 52-54 Church Road Thornton Cleveleys Lancashire FY5 2TX 01253 829373 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) Lancashire County Council Ms Elaine Jackson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Church Road Respite Service DS0000035977.V250656.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A suitably qualified and experienced manager who is registered with the National Care Standards Commission must be employed in the home at all times. Staffing must be provided in accordance with the residential forum quidance by April 2004. 13th July 2005 Date of last inspection Brief Description of the Service: This home is registered to accommodate up to six adults who have a learning disability of both sexes. It does not offer permanent accommodation, but offers a respite service for over a hundred people in the Wyre area. The home is situated in Thornton and is close to local amenities such as shops and public transport. It used to be two semi-detached houses that have been converted into one building that has two lounges, a conservatory, kitchen and three bathrooms. All accommodation is single and four bedrooms are on the first floor with a further two situated on the ground floor. There are no en-suite facilities. Two bathrooms are upstairs and both provide a bath with shower. The ground floor has an assisted bath. There is a garden at the rear of the property that over looks a primary school playing field. Church Road Respite Service DS0000035977.V250656.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 there was one service user in the home. The inspection included case tracking a service user, talking to staff, observing staff interaction with the service user, looking at documentation and looking around the building. What the service does well: What has improved since the last inspection? The manager continues to ensure that service users are consulted and the service is reviewed and monitored. Church Road Respite Service DS0000035977.V250656.R01.S.doc Version 5.0 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. Church Road Respite Service DS0000035977.V250656.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 Church Road Respite Service DS0000035977.V250656.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): These standards were not assessed on this occasion. EVIDENCE: Church Road Respite Service DS0000035977.V250656.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 and 7 The individual plans reflect the changing needs and personal goals of service users so staff have clear guidance when assisting them. EVIDENCE: Records were seen for the service user who was staying in the home. There was evidence to show that the home had consulted with the family prior to the visit to make sure that any changes since the last visit were documented. The care plan for this service user was up to date and reflected the person’s needs. The service user was offered choices about how to spend the day, and made decisions about having snacks. Staff on duty had good knowledge of the service user’s needs and good relationships were observed. Church Road Respite Service DS0000035977.V250656.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): These standards were not assessed on this occasion. EVIDENCE: Church Road Respite Service DS0000035977.V250656.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 and 19 The care plans give clear guidance for the best way to support people so staff assist in a manner that meets individual needs. EVIDENCE: Care documentation give staff detailed guidance on how best to assist people with personal care. The records for the service user who was accommodated provided information regarding seizures, night time support needs, bathing requirements and skin map to record any bruising or tissue breakdown. Details of input from other healthcare professionals while a service user is staying in the home are kept. The outcome of appointments are recorded in daily notes and this information is given to relatives at the end of the visit. Church Road Respite Service DS0000035977.V250656.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): These standards were not assessed on this occasion. EVIDENCE: Church Road Respite Service DS0000035977.V250656.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): 24,25,26,27,28,29 and 30 The respite service continues to provide a homely environment for service users during their stay. EVIDENCE: There have been no changes to the environment since the last inspection. The home has six single bedrooms, two of which are on the ground floor while the others are on the first floor. All bedrooms have suitable storage, and new televisions and CD players have recently been purchased for all bedrooms. There are no en-suite facilities provided in the home, however there are three bathrooms available for service users. The maintenance plan has identified areas for improvement such as the need to make the garden more accessible and replacement of some doors and windows. This work is being attended to in the New year. There are two lounges and a conservatory. The home was clean and bright and there are suitable infection control policies in place. Lancashire County Council provides suitable personal protective equipment such as gloves and aprons. The home has arranged for clinical waste to be disposed of appropriately. Church Road Respite Service DS0000035977.V250656.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): 32, 33 and 35 Staffing levels are sufficient to meet the needs of the service users. Service users are assisted by people who are aware of good practice as training continues to be provided to staff. EVIDENCE: This inspection was unannounced and there was one service user at home. There were two members of staff on duty as well as the registered manager. The staff team have achieved the target of 50 having National Vocational Qualification (NVQ) level II in care. Other training that is provided includes adult protection, epilepsy, autism awareness, risk management and health and safety. Recruitment and selection practices were not assessed on this occasion. Church Road Respite Service DS0000035977.V250656.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): 37 The registered manager is competent and experienced ensuring that staff have clear direction and leadership when assisting the customers accommodated. EVIDENCE: The registered manager has managed the home for approximately four years. She has over ten years experience of working with adults who have a learning disability in a residential setting. She has almost completed the Registered Managers Award. Church Road Respite Service DS0000035977.V250656.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 x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Church Road Respite Service Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 x x x x x x DS0000035977.V250656.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. 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 37 Good Practice Recommendations The registered manager should achieve the Registered Manager’s Award. Church Road Respite Service DS0000035977.V250656.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Respite Service DS0000035977.V250656.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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