Inspection on 04/02/06 for Coachmans Drive (51)

This inspection was carried out on 4th February 2006.

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

Coachmans Drive (51) 12/08/08

Coachmans Drive (51) 19/11/07

Coachmans Drive (51) 24/10/06

Coachmans Drive (51) 26/11/05

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 4 and 19th February 2006 10.00 th Coachmans Drive (51) DS0000025241.V281878.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 Coachmans Drive (51) DS0000025241.V281878.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. Coachmans Drive (51) DS0000025241.V281878.R01.S.doc Version 5.1 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) None United Response Anthony John Howe Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Coachmans Drive (51) DS0000025241.V281878.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th November 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 acting 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.V281878.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days in February. It included discussions with the manager, talking to staff, observations of staff interaction with service users, looking at documentation and looking around the building. What the service does well: What has improved since the last inspection? What they could do better: There remains a need for staffing levels to increase to make sure the service is not dependent on agency staff. This will provide continuity for service users and allow more spontaneity for people. Coachmans Drive (51) DS0000025241.V281878.R01.S.doc Version 5.1 Page 6 There is a requirement for the company to have a manager in post who is registered with the Commission for Social Care Inspection. The previous manager left his post in January 2006. 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.V281878.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 Coachmans Drive (51) DS0000025241.V281878.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): 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.V281878.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): 6,7,8 and 9. Care plan documentation has relevant information to ensure staff have details when assisting service users. EVIDENCE: The systems for care planning have not altered since the last inspection in November 2005. They continue to include full details of personal care needs, aspirations, medication, communication and diet. There was evidence to confirm that they are reviewed on a six monthly basis with full consultation of the service user. Staff spoken to had a good understanding of the emotional and physical needs of both service users, which was reflected in the care plans. The acting manager has recently had up-to-date training for Person Centred Planning and there are intentions for new tools to be used to identify and reach goals with service users. Coachmans Drive (51) DS0000025241.V281878.R01.S.doc Version 5.1 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): 11,12,13 and 14. The staff team ensure that service users are offered opportunities to appropriate leisure and social activities in the local community. EVIDENCE: Personal goals and aspirations are addressed in the Essential Life Plans and continue to ensure that service users have access to community facilities. These include voluntary work, restaurants, pubs and concerts of their choice. It was confirmed with a service user that they continue to attend events of their choice in the local community. One service user has a season ticket for a local football team and it was confirmed with him that there are always sufficient staff to assist him to the matches. There are day support staff whose roles are solely to assist people to attend their chosen activities during daytime. The acting manager is presently is considering using these staff for evening events as well as there are vacancies in the residential staff team. This will ensure there is more opportunity for unplanned outings during the evenings. Coachmans Drive (51) DS0000025241.V281878.R01.S.doc Version 5.1 Page 11 Coachmans Drive (51) DS0000025241.V281878.R01.S.doc Version 5.1 Page 12 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): These standards were not assessed on this occasion. EVIDENCE: Coachmans Drive (51) DS0000025241.V281878.R01.S.doc Version 5.1 Page 13 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: Coachmans Drive (51) DS0000025241.V281878.R01.S.doc Version 5.1 Page 14 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 is domestic in character and is maintained so that service users are comfortable and safe. EVIDENCE: 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. The acting manager informed the inspector that funding has been secured for new flooring in the lounge and dining area, which will be fitted in the next week. 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.V281878.R01.S.doc Version 5.1 Page 15 Both service users have their own bedroom, which contain their own personal possessions such as photographs, books and ornaments. Coachmans Drive (51) DS0000025241.V281878.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 33 and 34 Staffing levels are not always sufficient in meeting the needs of the service users. Recruitment practices are professional ensuring people are appointed who have the relevant skills, knowledge and values for the role. EVIDENCE: The rota was viewed which confirmed that there continues to be staff vacancies within the home, however there was evidence of this being addressed and recruitment is in progress. In the meantime the home is still dependent on agency staff, which does not provide continuity for service users, therefore this remains as a recommendation. Two staff files were looked at, which confirmed that all necessary clearances are obtained prior to offering a position to a candidate. This included two references, proof of identification, a Criminal Records Bureau Disclosure and a completed application form. There was evidence of notes being taken at interview and it is commendable that service users are introduced to candidates as part of the process and that their views are taken in to account. Coachmans Drive (51) DS0000025241.V281878.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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 and 38 The home is well run and is service user led, but would benefit from a manager who is registered with the Commission for Social Care Inspection. EVIDENCE: There is no registered manager in post at present due to the previous manager leaving his position in January 2006. The acting manager has experience as a senior in the home and continues to lead the team in a manner that is service user focused. This was evident form talking to staff and observations during the inspection. However, the company must ensure that a manager is registered with the CSCI and that the manager has achieved or enrolled for the Registered Manager’s Award. Coachmans Drive (51) DS0000025241.V281878.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 x 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 x 23 x ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 x 33 2 34 3 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x 1 3 x x x x x Coachmans Drive (51) DS0000025241.V281878.R01.S.doc Version 5.1 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 37 Regulation 8(1)(b)(i) Requirement The Company must submit an application to register a manager with the CSCI. Timescale for action 14/04/06 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 YA33 Good Practice Recommendations The home should provide sufficient numbers of staff to support service users’ assessed needs at all times. Coachmans Drive (51) DS0000025241.V281878.R01.S.doc Version 5.1 Page 20 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.V281878.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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