Inspection on 25/01/06 for Church Street Short Breaks

This inspection was carried out on 25th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is 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 23/05/05

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 Church Street Short Breaks 88 Church Street Golborne Wigan Greater Manchester WA3 3TW Lead Inspector Julie Conrad Unannounced Inspection 25th January 2006 03:30 Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Church Street Short Breaks Address 88 Church Street Golborne Wigan Greater Manchester WA3 3TW 01942 272079 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) Wigan Council Social Services Department Christopher Martin Parr Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (4) of places Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 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 years of age) The service should at all times employ a suitably qualified and experienced manager who is registered with the CSCI 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. 2. 3. Date of last inspection 23rd May 2005 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 amenities. 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. Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Church Street Short Term Break Service, took place on 23rd January 2006, from 3.20pm until 4.50pm. The registered manager was present throughout the inspection; the inspector had conversations with the manager, two members of staff and two service users. The premises were checked and records were inspected. What the service does well: The home continues to provide a good service to the service users, whilst offering support to their families and representatives. The home is maintained to a good standard, with nice furniture and décor. The bedrooms are nicely decorated and are clean and tidy. The home has a good staff team, who said they enjoy their work. Staff training is ongoing and specialist training is provided to meet the needs of individual service users. The records seen by the inspector were good and reviews are taking place. Regular contact is maintained with health care professionals who are involved in the service users care. Health care professionals are involved in the reviews that take place. The inspector spent time talking with two service users, who said the home and staff are good. Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? 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 Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The prospective service users needs are assessed by a social worker, the manager carries out an assessment of need and aspirations with the service user, to ensure their needs are fully met. EVIDENCE: Prior to admission for a short-term break, each service user receives an assessment of need by a social worker. The service user and their relatives are visited by the manager or senior member of staff and are invited to visit the home to look around. If the service users needs, can be met at the home, the manager or key worker will complete the help notes with the service user and their relatives. The help notes are an assessment of need and assessment of the service users aspirations, which include; personal and medical details, a personal profile, including cultural needs, interests, communication, eating and drinking, dressing skills, sleeping and health and safety. The inspector saw three service users help notes, these were informative, were written in a user friendly way in a pictorial format. The information in the help notes, demonstrated service users involvement in the gathering of information. Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 9 Service users and their families know their assessed and changing needs and personal goals are reflected in the care plan, as they participate in the reviews, ensuring they contribute and understand the content of the care plan. Risk assessments are carried out on each service user, to ensure they can be as independent as possible, whilst remaining safe. EVIDENCE: The inspector saw three service user files, which contained assessments, care plans, help notes and reviews. At the front of each individuals file, there is a service agreement, with a photograph of the service user, written in a userfriendly way in a pictorial format. The care plans are reviewed on either a six or twelve month’s basis by the social worker, these reviews include the service user, relative or representative and the homes manager. Staff at the home review the help notes every six months. The inspector saw three service users help notes, these demonstrated that they were recently reviewed on November 2005. The six months reviews include the key-worker, service user and their relative or representative. Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 10 A member of staff contact the service user and their family, prior to a short stay at the home, this courtesy call allows staff to find out if anything has changed since the last stay, for instance, medication or the service users wellbeing. The inspector checked three service users risk assessment’s, these assess the risk of activity and of the building in relation to each individual. Some risk assessments are completed by the multi-disciplinary team, one such assessment is being carried out on a service user at present, the assessment includes input from the physiotherapist, occupational therapist, the assessment is focused on activity and personal care. Health care professionals are involved in the risk assessments of service users with challenging behaviour. Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 15 Service users are able to take part in age and culturally appropriate activities, this is ensured by ongoing consultation with the service user. Service users have appropriate personal, family and sexual relationships, to ensure this is possible; other health care professionals may be involved. EVIDENCE: The majority of service users attend a day centre during the day, and therefore, like to relax during the evenings, watching soap operas, videos or listening to their favourite music on their individual DVD players. Two service users joined the inspector, manager and staff around the table. One service user brought her collection of CD’s to the table. The service user also brought a healthy cookbook and some craftwork she was doing with wool. The service user spoke enthusiastically about her interests and was planning a trip to the supermarket with staff for the following day. The other service user brought to the table a book on buses. The service user told the inspector he had been to the cinema with staff. Both service users told the inspector that they enjoyed staying at the home and that they liked the staff team. The Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 12 inspector observed the easy rapport between staff and service users, service users joked and had banter with staff. Staff ensure that service users maintain good relationships with family and friends. The manager and inspector discussed sexual relationships between service users. The manager said that should such a relationship arise, the home has ‘sexuality guidelines’ and would seek support from health care professionals to support both service users. One service user who had a girlfriend, used to invite her to the short break service for tea and to watch TV. There has been no need for culturally appropriate activities at Church Street; however, the manager has been involved in providing a culturally appropriate evening for a Hindu service user at another home. This would be done at Church Street if the need should arise. Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 20 Personal care is provided in a way preferred by the service user, this is reviewed regularly, to ensure this remains satisfactory for the service user. The home has a policy and procedure on medication. This is implemented by staff to ensure the safety and protection of the service user. EVIDENCE: The inspector read the help notes that are completed with the service user; describe how the service user prefers to receive support and assistance. The risk assessments also assist staff in supporting service users with personal care, for example, one resident is able to take a bath at home independently, but sometimes totally immerses themselves in the water, therefore, the risk assessment requires staff to monitor the service user, whilst ensuring they maintain independence. Service users with no verbal communication are able to demonstrate to staff whether or not they want assistance in a non-verbal way. Service users will turn away, use facial expressions, staff are trained to read non-verbal communication. The home has a policy and procedure on medication, which includes the procedure to follow if a service user should wish to administer their own Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 14 medication. If a service user did wish to be responsible for their own medication, the social worker would carry out an assessment and risk assessment to determine how this could be done safely. At present no service users administer their own medication. The homes medication policy and procedure has recently been reviewed. Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 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 the following standard(s): 22, 23 The home operates Wigan Social Services Departments’ Complaints policy and procedure and ensures all service users and their representatives are aware how to use it. The home operates Wigan Social Services Departments’ Protection of Vulnerable Adults policy and procedure, to ensure all service users are protected from abuse. EVIDENCE: The home operates Wigan Social Services Department’s complaints policy and procedure. The inspector checked the homes complaints file, there have been no complaints since the last inspection. The manager investigates the informal complaints that are made by service users or their relatives or representatives. Wigan Social Services Departments’ Customer Services Team investigate formal complaints. The complaints procedure is explained to service users in the service agreement. The service users told the inspector that everything at the home ‘was good’. The home operates Wigan Social Service Departments’ Protection of Vulnerable Adults policy and procedure, which has recently been revised and re-launched by the Department. The manager told the inspector that he is to attend training in line with the new policy and procedure within the next few months, whilst staff will attend the course some time after. All staff have received training in the past. Staff also study the protection of vulnerable adults in the LDAF (Learning Disability Award Framework) and in NVQ level 2 in Care. Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 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 the following standard(s): 24, 30 The home provides a homely, comfortable and safe environment, which service users enjoy. The home is clean, tidy and hygienic, ensuring service users have a pleasant stay. EVIDENCE: Since the last inspection changes have occurred to the premises. The residents told the inspector that they ‘liked’ the open plan feature. Residents spend time sitting around the dining room table talking to staff and each other. There are two sofas that have been recovered and there is money available to purchase paintings, cushions, lamps and dressings for the table. A new round, extending table is on order. The home has had an extension, which has been built onto the kitchen. This is a utility room and contains the washing machine and dryer, the freezer and fridge; there is still a fridge in the kitchen. The utility room also has a sluicing facility. The home has a risk assessment on the utility room by the Social Services Departments trainer in food hygiene, which ensures sluicing is never carried out when getting food out of the freezer Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 17 or fridge. The inspector has made a recommendation that Environmental Health should be contacted and an inspection of the utility room be carried out. The utility room is also used to store a hoist and stand; the changes and extension have created more communal space, which is of benefit to both service users and staff. The kitchen is to be fitted with new work top surfaces. All bedrooms have new quilts, pillowslips and pillow and mattress protectors. The service users said that they liked their rooms. One service user said she would like a pink quilt on her bed. The enclosed patio area has garden furniture; service users use the patio in spring and summer, when pot plants and hanging baskets are put out. The service users would benefit from extra communal space, this might be done by having a conservatory. Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 35 The staff team are qualified and trained to provide a good service for the service users. Service users joint and individual needs are met by trained staff, ensuring all needs are met. EVIDENCE: All the staff at Church Street have achieved NVQ level 2 in care. A senior member of staff has commenced NVQ level 3 and an introduction to management course. All staff attend mandatory training, which includes, moving and handling and food hygiene. Staff are able to access specialist training specific to the needs of the service users. For example, training in challenging behaviour and in specific conditions, which some service users have. Staff were observed interacting with service users, this was done in a calm, friendly manner. There is a relaxed rapport between staff and residents, lots of fun and joking together was seen. The inspector checked two staff files, which contained supervision records. Supervision is carried out on a regular basis, the manage supervises all staff. Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 19 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 The home is run efficiently, which is of benefit to the service users. Meetings with carers and service users, ensure their views underpin the development of the home. EVIDENCE: The home is run efficiently, the manager sometimes covers evening and night shifts. There is always two members of staff on duty, additional staff are on duty if a service user has challenging behaviour or complex needs. There is one waking night staff on duty, however, staff rotas demonstrate that often there are two waking night staff on duty, when service users who have challenging behaviour or complex needs are at the home. To ensure service users receive good information, the service is currently reviewing the homes statement of purpose and service agreement. The manager is looking to formulate a questionnaire, which will be sent to service users and their carers. Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 20 The home has recently held two carers coffee mornings; these are informal meetings, which are used to update carers on changes to the service and to ascertain carer’s views. Recent issues discussed at coffee mornings have included, the building of the extension, inspection reports, which are made available at the home and carers are informed they can access these on the Internet. The meetings also allow carers to talk informally to staff and to the key-workers. Service users meetings take place every two months, issues discussed are ‘how to complain’, ‘is the food good’. On the day of the inspection, the service users told the inspector that ‘the food is good here’. Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 21 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 3 25 x 26 x 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 x 34 x 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 3 13 x 14 x 15 3 16 x 17 x x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x 3 x x x 3 x x 3 x Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 22 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 2 Refer to Standard YA24 YA30 Good Practice Recommendations Service users wouldbenefit from more communal space, for example a conservatory. A request for environmental health inspection should be made. Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office 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 Church Street Short Breaks DS0000005730.V265405.R01.S.doc Version 5.1 Page 24 - 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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