Inspection on 26/11/05 for Coachmans Drive (51)

This inspection was carried out on 26th November 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

Coachmans Drive (51) 12/08/08

Coachmans Drive (51) 19/11/07

Coachmans Drive (51) 24/10/06

Coachmans Drive (51) 04/02/06

Coachmans Drive (51) 18/02/05

Coachmans Drive (51) 04/08/04

Coachmans Drive (51) 02/03/04

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 Coachmans Drive (51) 51 Coachmans Drive West Derby Liverpool Merseyside L12 0HX Lead Inspector Ms Janet Spink Unannounced Inspection 26th November 2005 10.00 Coachmans Drive (51) DS0000025241.V269621.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 Coachmans Drive (51) DS0000025241.V269621.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. Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Coachmans Drive (51) Address 51 Coachmans Drive West Derby Liverpool Merseyside L12 0HX 0151 228 2295 9999 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) www.unitedresponse.org.uk United Response Anthony John Howe Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th February 2005 Brief Description of the Service: 51 and 53 Coachman’s Dr are two bed roomed bungalows situated in Croxteth park area of Liverpool. The bungalows are identical in layout and are adjacent to each other. They have large lounge/dining area and recently refurbished kitchens. There are gardens to each of the properties. A small office is located in 51 Coachman’s Drive that serves for both properties. Staff sleep in a room located in 53 Coachman’s Drive. There is one registered manager for both services and the staff group are employed for both houses. 51 Coachman’s Drive is decorated and furnished to a high standard and provides a homely environment that is domestic in character. Coachmans Drive (51) DS0000025241.V269621.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 at took place over four and a half hours. It included case tracking a service user, talking to staff, looking at documentation and looking around the building. What the service does well: What has improved since the last inspection? There has been some improvement to training for staff since the last inspection. Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 Page 6 There has been some decoration to the house 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. Coachmans Drive (51) DS0000025241.V269621.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 Coachmans Drive (51) DS0000025241.V269621.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 as both service users have lived in the home for a number of years and there have been no new admissions. EVIDENCE: Coachmans Drive (51) DS0000025241.V269621.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): 6,7,8 and 9 The registered manager and staff team work hard to make sure the needs and aspirations of people are met by having detailed care plans. EVIDENCE: There have been no changes regarding care plans since the last inspection. They continue to be reviewed regularly with full consultation with the service user. They include details of mobility, preferred method of communication, health, diet and medication. The care plan was viewed for the person the inspector was case tracking, and this confirmed that all aspects of care are addressed and reviewed. The plan of care includes clear guidance for daily routines such as bathing and dressing. All records of other health care professionals are recorded in the daily notes. Care plans are reviewed with full consultation of the service user and other interested parties. Staff spoken to demonstrated a good knowledge of the person’s needs, as they were able to explain to the inspector how he makes his needs known despite Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 Page 10 having little verbal communication. There was clearly a good understanding of his gestures and expressions. Risk assessments are in place for each service user to make sure they are safe, and these are reviewed regularly. Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 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): 11,12, 13, 14, 15, 16 and 17 The home provides an environment where residents’ wishes are viewed as priority so that social integration is developed in leisure and community activities. Meal times are provided in a relaxed manner. EVIDENCE: Personal goals are included in the care plan and these include working, attending football matches, swimming and attending the gym. The staff team have good understanding of the rights of individuals who have a learning disability to access local facilities as any other citizen of the community. It was evident during the inspection that staff are clear about their roles as enablers rather than carers and that they encourage independence as much as possible. People were seen to be assisting in the kitchen, making decisions about meals and assisting with laundry. They have their own front door keys. There are no restrictions around visitors and the staff encourage service users to maintain family links. On the day of the inspection one service user had gone to her family for the weekend. Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 Page 12 The service user who was at home had his breakfast following a lie-in. He was offered choices and was assisted in a manner that suited his needs. The meal was offered in a relaxed manner and the appropriate aids were provided. Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 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): 18,19 and 20 The care plans give clear guidance for the best way to support people so staff assist in a manner that meets individual needs. Medication practices are within a safe framework. EVIDENCE: The care plans provide clear guidance for staff on how to assist a person that best suits their needs. This is included on the personal support assessment, which outlines in detail steps to be taken when assisting with personal care. There are also clear guidelines for staff to follow when assisting a service user to feed, and this was observed to be happening in practice. Both service users access other healthcare professionals such as incontinence advisor, physiotherapist and GP etc when required. All evidence confirmed that physical, emotional and health needs are met. Medication was stored in a suitably secured cabinet and records were up to date and accurate. The inspector was told that staff who administer medication have received training for this and that new staff who are undertaking LDAF do not have responsibility for medication. Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 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 the following standard(s): 22 and 23 The home ensures that service users are aware of their rights and has a complaints procedure. Systems are in place to reduce the risk of abuse. EVIDENCE: The manager has made sure that all service users and/or their relatives have had a copy of the complaints procedure, which is in the Statement of Purpose. This is in pictorial format. The two people accommodated would probably not make a formal complaint, but staff are aware of behaviour changes and gestures that may indicate a person is not happy with something. There are opportunities on a daily basis for service users to make their wishes and opinions known, as well as the more formal reviews. Staff are given some guidance around “Awareness of abuse” through National Vocational Qualification (NVQ) in care and through Learning Disability Award Framework (LDAF). This will go some way to ensure residents are protected from abuse. Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 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 the following standard(s): 24,25,26,27,28,29 and 30 The home provides a comfortable environment where residents are safe and comfortable. It is clean and airy, and bedrooms are personal to each individual ensuring their preferences and choices are reflected. EVIDENCE: Both people have their own bedrooms that reflect their personal choices such as pictures, photographs, CDs and their own bedding. The inspector asked how a resident chooses what music to listen to as they are unable to use the CD player independently. The staff member was able to explain the different body language and vocal levels that indicates their appreciation or otherwise of music that has been selected. The home has a spacious lounge and dining area, and there is access to the rear garden. The home was warm, clean and airy on the day of the inspection. Laundry facilities are domestic in character and situated in the kitchen where service users are able to use them. The kitchen has recently been refurbished and has a worktop available that is at a level for service users to assist from their wheelchairs. Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 Page 16 The home is well maintained and appropriate lifting aids are provided. All hoists are regularly serviced. The bathroom is spacious and has been specially adapted to meet the needs of the service users. A tracking system, changing table, shower and an overhead hoist are in place ensuring service users are assisted in a safe manner. Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 Page 17 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, 35 and 36. Staffing levels are not always sufficient in meeting the needs of the service users. Training has improved to ensure that staff have the appropriate skills and knowledge to meet the needs of residents. EVIDENCE: There are a number of staff vacancies in the home at present, which has had a detrimental effect on service users. The inspector was informed that planned activities such as football matches, trips to theatres and concerts have continued, but staff shortages have had an impact on being able to be spontaneous. Household shopping has sometimes had to be done for both bungalows rather than individually. The service has been having to rely on agency staff, which means service users are not being offered consistency. The inspector was informed that interviews for these posts are to be held in December. Four support staff have completed National Vocational Qualification (NVQ) level III in Promoting Independence. One has completed the Learning Disability Award framework) LDAF and one is currently doing this award. There has been some progress in core training since the last inspection as some staff have completed food hygiene, first aid and infection control. This should continue to ensure all staff receive the relevant training to their roles. Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 Page 18 Recruitment practices were not assessed during this inspection as the person on duty did not have access to recruitment files. Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 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, 38 and 42 The home is well managed and run in the best interests of the service users. There is good leadership, guidance and direction to ensure that they receive consistent care. The home is well maintained to ensure the safety of service users and staff. EVIDENCE: The manager of the home was not on duty at the time of the inspection, but staff told the inspector that they felt supported by him. They receive regular 1-1 formal supervision, but this is not 6 times a year as recommended during the last inspection. Staff felt that the system was sufficient as they can approach the manager at any time as he works “hands on” in the home. The member of staff on duty was unsure if the manager has completed the Registered Manager’s Award and therefore this will remain as a recommendation. Staff meetings are held monthly and minutes are kept of these. Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 Page 20 The Inspector was provided with documentation in relation to maintaining a safe environment. This included records fire equipment testing, a current electrical installation safety certificate, water temperature checks and servicing of hoists. Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 1 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Coachmans Drive (51) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x DS0000025241.V269621.R01.S.doc Version 5.0 Page 22 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 2 3 Refer to Standard YA33 YA35 YA37 Good Practice Recommendations The home should provide sufficient numbers of staff to support service users’ assessed needs at all times. Training and development should continue to ensure all staff receive core training. The manager should achieve Registered Manager’s Award. Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Liverpool Satellite Office 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 Coachmans Drive (51) DS0000025241.V269621.R01.S.doc Version 5.0 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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