Inspection on 23/05/05 for Church Street Short Breaks

This inspection was carried out on 23rd May 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 Street Short Breaks 17/11/08

Church Street Short Breaks 28/11/07

Church Street Short Breaks 09/11/06

Church Street Short Breaks 25/01/06

Church Street Short Breaks 16/11/04

Church Street Short Breaks 22/05/04

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 88 Church Street, 88 Church Street, Golborne, Wigan, WA3 3TW. Lead Inspector Julie Conrad Announced 23 May 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. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 88 Church Street Address 88 Church Street Golborne Wigan WA3 3TW 01942 272079 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) Wigan MBC Christopher Martin Parr CRH Care Home only 4 Category(ies) of LD Learning Disability (4) registration, with number LD(E) Learning Disability over 65 (4) of places 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered for a maximum of 4 service users to include:up to 4 service users in the category of LD (Learning Disability) up to 4 service users in the category of LD(E) (Learning Disability over 65) 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the CSCI. 3. The Registered Manager must spend a proportion of their working hours each week on site to have a clear presence in the home, to oversee the running of the home, and supervision of care staff on the premises, to include weekends and times when service users are present in the home. This must be reflected on records maintained in the premises. 4. Staffing levels are to be calculated in accordance with the Residential Forum Guidance (Older People and Younger Adults) by 1 April 2004. Date of last inspection 16th November 2004 Brief Description of the Service: 88 Church street is a Local Authority care home, which provides a short term break service for up to four adults, of either sex, who have a learning disability. The manager of the home is Mr Chris Parr. The home is a small bungalow situated in Golborne, close to the town centre and local shops and ammenities. THe home is set back from the main road and has a front garden, an enclosed flagged patio to the side of the home and parking to the rear of the building. The home has four single bedrooms, a lounge and dining room and a kitchen. There is a bathroom and shower room and two toilets. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 23rd May 2005 from 2.45pm until 5.15pm. A tour of the home was carried out and the patio area was looked at. The assistant accommodation manager was present for part of the inspection and the registered manager was present throughout the inspection. Two staff were interviewed and two residents were observed, only one resident was able to make comments to the inspector. A number of different records were looked at to see if they had the information required for staff to their job well. What the service does well: What has improved since the last inspection? What they could do better: The residents would benefit from an activities fund being set up. This would enable them to have sufficient funds for staff to hire a mini bus for use in trips to places such as Southport. The current provision of having to use public transport is difficult for residents who have a physical disability and limits their scope. The location of the washing machine could be better. It is currently in the kitchen. Owing to the risk of cross infection in an area where food is prepared and eaten, laundry facilities should not be sited in the kitchen. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 6 More colourful plants could be provided on the patio making this a better, more inviting place to sit. 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. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 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 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 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) 1, 2, 5 The home’s statement of purpose and service user guide, provide residents and prospective residents with details of the service and the home, which assists the resident to make an informed decision about admission to the home. EVIDENCE: Each resident is issued with a contract which states the terms and conditions of the home. The written contracts are read to the resident and their relative and where possible, are signed by the resident or relative and are kept on the individuals file. Residents and prospective residents are given a copy of the service user guide and statement of purpose, which are written in plain English and use both the printed word and pictorial guide, to explain the service provided. A copy of the service user guide and statement of purpose is displayed in the hallway. Four residents files were seen, these contain all information specific to each individual and address health and social needs and personal aspirations. The assessments are completed with the resident, ‘My life my meeting’ assessments are reviewed with the input of health care professionals every six to twelve months or as required. The ‘Help Notes’ are completed at the day centre, with input from the resident and their family. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 9 These assessments give a full picture of the individual, their likes and dislikes, their preferences regarding personal care. Prospective residents are able to visit the home on a trial basis, some visit for tea a few times before staying overnight or for the weekend. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 9 The care planning system and risk assessments in place at the home, ensure individual needs and choices are assessed and met. EVIDENCE: Residents will usually use the same bedroom each time they have their short stay breaks. Each room is different and different rooms cater for different needs, for example, one room has a very large bed, this is to accommodate a resident who is very tall and large, other rooms are suitable for equipment needed for residents using wheelchairs. The key worker is responsible for ensuring residents and their family understand their care plan and risks assessments, wherever possible, these are completed with the participation of residents and family. The key worker will spend time on a one to one basis engaging with the resident, verbally, or using non verbal communication and observation, to ensure the resident is making decisions regarding how they spend their time, whilst at the home. Staff assess on an ongoing basis, how residents prefer to spend their evenings. Most of the residents attend a day centre and are participating in activities throughout the day, therefore, after dinner, most like to settle down in front of the TV and watch the soaps. Over the weekend, some residents like to go out 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 11 shopping, accompanied by staff, some male residents enjoy watching a football match at a local public house. Staff are able to support residents to live a full a life as possible by following the risk assessment. Staff will discuss risk assessments with their manager, in their one to one supervision sessions and risk assessments are reviewed. Most residents risk assessments are carried out by staff at the home, residents with challenging behaviour receive a risk management assessment from health care professionals who are involved in their care. Staff observe and review each residents behaviour on an ongoing basis. Four risk assessments were seen, one of the risk assessments was overdue a review. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 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 standard(s) 13, 14, 17 Links with the local community are good, enabling residents to develop their social skills. These skills would be greater improved if the home had access to adapted transport enabling residents to widen their activities beyond the local level. The meals at the home are good offering both choice and variety and catering for special diets. EVIDENCE: Whilst staying at the home, residents are regularly out and about in the community, visiting the local public houses with staff for a social drink and to watch sport on TV, visits to the local convenience store and supermarket. Staff and residents enjoy walks in the local area, some attend church and at different times of the year attend such events as the local school pantomime. Residents meetings are held regularly and are recorded and kept on file. The last meeting was held on 5th May 2005, issues discussed included asking residents, ‘Do you like Church St?’ ‘Do you like the food?’ ‘Do you like the building?’ ‘What would make Church St better?’ The comments were positive, residents commented that a new DVD player would make Church St better. A 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 13 resident at the home said everything was good, this included staff, care and food. It was observed how relaxed and at home this resident appeared, she had only just arrived for a weeks short term care and had not been to the home for a number of months, yet was immediately at ease and was joking with staff. Another resident arrived at the home, had a cup of tea and a yoghurt and then was taken out in her wheelchair by a member of staff, it was a pleasant, sunny afternoon and staff had observed, this particular resident enjoyed this routine when first arriving at the home. A new residents satisfaction questionnaire has been devised and is currently on disk, these are soon to be issued to the people using the service as part of the homes quality assurance system. Two care staff on duty discussed menus and meal-times, each residents dietary needs are recorded in the help notes. Menus are set around which residents are staying at the home at any one time and a choice of two meals are available. Residents like to dine together, recently side dishes, such as salads and vegetables have been put into bowls and placed on the table, to enable residents to serve themselves, some residents enjoy serving desserts to others. Special diets are catered for and a number of residents are on a low fat diet. Staff would like to be able to take residents out more, for day trips to places such as Southport, particularly during the summer months. Residents have varying financial means and due to physical disabilities require taxis or buses that are adapted for disabled people. Staff would like to have the use of a mini bus occasionally, this would require an activities fund. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 14 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, 19 Personal support is offered in a way which supports and promotes residents independence and choice over their daily lives. The health needs of residents are well met with evidence of good multi disciplinary working taking place on a regular basis. EVIDENCE: Four residents files were seen, the ‘help notes’ identify when a resident prefers to take a shower or bath, staff sometimes have to encourage residents to bath or shower and explain the importance of personal hygiene, particularly as a number of people who have short stay have incontinence difficulties. Staff can discuss personal care and incontinence issues in one to one supervisions and at staff meetings. Residents emotional and physical needs are met by involving health care professionals in their assessments, these include psychologists and occupational therapists. Staff observe residents on an ongoing basis, to ensure their needs are met and reviews are carried out to ensure the service is still meeting the individuals needs. Staff had observed that one resident who arrived at the home on the day of the inspection, settled in better at the home, if she had a drink and snack on arrival and then went out in her wheelchair with a member of staff, this routine helped her to relax. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 15 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 home operates Wigan Social Services Departments Protection of Vulnerable Adults Policy and procedure (POVA), which ensures residents are protected and safeguarded from abuse. EVIDENCE: The home operates the local authority’s Protection of Vulnerable Adults Policy and procedure. Staff are introduced to the policy and procedure at induction. The POVA policy and procedure is also part of the LDAF training and NVQ level 2 qualification. The home has recently had to suspend a member of staff and is currently following the POVA procedure in respect of an allegation of abuse. The Social Service Department is in the process of revising the policy and procedure and on completion it will be re launched to all staff. The home has a complaints file, which records informal complaints made and the outcome of the investigation, the last complaint was made during October 2004 and was resolved promptly. Formal complaints are investigated by the Social Services Departments Customer Services Team, who also keep the records at civic centre. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 16 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, 27, 30 The home is decorated and furnished to a good standard, creating a homely, comfortable safe environment for residents. EVIDENCE: Church Street is a purpose built bungalow, that is pleasantly decorated and has comfortable furniture. Each bedroom is decorated in a different colour scheme, with co-ordinated carpets and curtains and fitted with suitable bedroom furniture, such as wardrobes, desk/drawers. The home is well maintained, carpets are cleaned on a daily basis. Room 2 has a new fitted wardrobe and desk/table, whilst room 3 has had a purpose built headboard fitted. The bathrooms and WC’s areas are fitted with appropriate equipment and adaptations for people with a disability the occupational therapist is involved in the assessment for such equipment. One bath has a remote controlled bath chair, this was serviced 7th April 2005. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 17 The dining room is pleasant with good quality furniture, nicely decorated with paintings on the wall. Staff adhere to the kitchen manuals food safety guidelines, and staff take turns in cooking meals. However, some staff prefer to attend to kitchen duties and the staff on duty said that they decide this between themselves. Staff say they work in a co-operative way, supporting each other. A new member of staff said she was well supported by the manager and the staff team and was enjoying her work. A resident said she liked the home. The laundry facilities are in the kitchen. Laundry facilities in the kitchen is not recommended and an alternative place for laundry facilities should be found. There is an enclosed patio area, which is flagged and has a picnic table and bench. The patio would benefit from more potted plants and hanging baskets to make the area more colourful. The home is very clean and tidy and there are no odours. A domestic member of staff provides two hours a day cleaning and a cleaning rota for the staff team is in place. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 18 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, 33, 36 Staff receive appropriate mandatory training, followed by specialist training designed to meet the needs of individual residents who stay at the home. Resident’s benefit from having a staff team that is well supported and supervised. EVIDENCE: Residents and their relatives feel to be well supported by management and staff. A member of staff talked about a recent coffee morning held at Church Street for relatives/carers. These are held on a quarterly basis, the home’s manager attends these meetings and all staff are invited. Four staff attended the last meeting and twelve carers. Two of the staff who attended the meeting said they found them helpful in maintaining close links with residents families. In addition to the carers meetings staff carry out courtesy calls at the homes of residents. The key worker visits the resident and their family prior to their short stay at Church Street. A supervision rota demonstrates supervision of staff is carried out on a regular basis, and a sample of staff supervision records looked at evidenced this. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 19 The following issues were discussed with the manager and with the two staff on duty, meals, hygiene and incontinence, staff training, medication and supervision. Both staff commented positively about these issues. They feel supported by having a designated manager at the home, who is very approachable and is able to take their queries and questions to senior management, staff said they feel more informed. They also feed supported by supervision and training and were due to attend a course on ‘Assault Cycle’ the day after the inspection. This was a course specifically to help them manage a particular resident. The assistant service manager said that accredited medication training is being arranged. Residents are not involved with staff recruitment and selection. However, the manager said this is being looked at by the residents committee, which has residents who use the service from across the borough as representatives. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 20 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) 37 43 The manager is supported well by senior staff in providing clear leadership throughout the home, with staff demonstrating an awareness of their roles and responsibilities. EVIDENCE: The residents benefit from competent and accountable management of the service. The two staff on duty said they were able to provide a good service because of the support they received from having a permanent registered manager. The service has a clear management structure and line of accountability. There is the registered manager, the assistant service manager and the service manager all who are accountable to the registered provider, who is an assistant director of the social services department. The registered manager is qualified and competent and has worked within the learning disability service for many years. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 21 The manager provides leadership and support to the staff team, this is demonstrated in the supervision records and verbal feedback from staff. The manager is approachable and carry’s out his duties in a relaxed manner. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 22 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 3 3 x x 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 3 x x 3 Standard No 11 12 13 14 15 16 17 x x 3 2 x x 3 Standard No 31 32 33 34 35 36 Score x 3 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 88 Church Street, Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x x 3 F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 23 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 9 Regulation 14 Requirement The review of a risk assessment is overdue. Timescale for action 30th June 2005 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. Refer to Standard 14 24 24 Good Practice Recommendations Staff and residents would benefit from an activities fund. More potted plants and hanging baskets would enhance the patio area. Laundry facilities should not be in the kitchen. 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Turton Suite, Paragon Business Park, Chorley New Road, Horwich, Bolton, BL6 6HG. 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 88 Church Street, F56 F06 S5730 Church Street V217326 230505 Stage 4.doc Version 1.30 Page 25 - 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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