Inspection on 17/12/05 for Crompton Drive (1)

This inspection was carried out on 17th December 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

Crompton Drive (1) 06/02/07

Crompton Drive (1) 19/02/06

Crompton Drive (1) 16/03/05

Crompton Drive (1) 05/08/04

Crompton Drive (1) 25/01/04

Crompton Drive (1) 19/08/03

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

CARE HOME ADULTS 18-65 Crompton Drive (1) 1 Crompton Drive Croxteth Park Liverpool Merseyside L12 0JX Lead Inspector Janet Spink Unannounced Inspection 17th December 2005 10:30 Crompton Drive (1) DS0000025250.V269872.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 Crompton Drive (1) DS0000025250.V269872.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. Crompton Drive (1) DS0000025250.V269872.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Crompton Drive (1) Address 1 Crompton Drive Croxteth Park Liverpool Merseyside L12 0JX 0151 546 6093 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.c-i-c.co.uk. Community Integrated Care Miss Ann Bell Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Crompton Drive (1) DS0000025250.V269872.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th March 2005 Brief Description of the Service: 1 Compton Drive is a small care home. It provides accommodation for three service users who have a learning disability. It is part of the Community Integrated Care organisation, which specialises in homes for people with learning disabilities and the elderly. The home is a three bed roomed bungalow situated in a residential area of Croxteth Park and has been registered since 1999. It is a modern bungalow that provides single accommodation, a lounge/dining area and a private rear garden. Crompton Drive (1) DS0000025250.V269872.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, observing 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? There were no recommendations or requirements following the last inspection. The manager continues to ensure that service users are consulted and the service is reviewed and monitored. Crompton Drive (1) DS0000025250.V269872.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Crompton Drive (1) DS0000025250.V269872.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 Crompton Drive (1) DS0000025250.V269872.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 as there have been no new admissions. EVIDENCE: Crompton Drive (1) DS0000025250.V269872.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: Care plans are reviewed regularly with full consultation with service users. They include details of nutritional intake, mobility, preferred method of communication, health, 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 are reviewed every three months. The plan of care includes clear guidance for daily routines such as bathing, dressing and assistance with feeding. 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 had a good knowledge of the person’s needs as they were able to explain to the inspector how they makes their needs known despite having little verbal communication. There was clearly a good understanding of gestures and expressions. Crompton Drive (1) DS0000025250.V269872.R01.S.doc Version 5.0 Page 10 Risk assessments are in place for each service user to make sure they are safe. These include assessing the level of risk of tissue damage, the need for bed rails and bathing. These are reviewed regularly. Crompton Drive (1) DS0000025250.V269872.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): 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 essential Life Plan and these include swimming and choice of individual holidays. 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 and decision making as far as possible. There are no restrictions around visitors and the staff encourage service users to maintain family links. All service users were offered breakfast of their choice and this was done in a relaxed and unhurried manner. Appropriate aids were provided and they were assisted in a manner that best suits their needs. One service user requires peg Crompton Drive (1) DS0000025250.V269872.R01.S.doc Version 5.0 Page 12 feeding and evidence confirmed that staff have had training and guidance around this. This is reflected in detail in the care plan. Crompton Drive (1) DS0000025250.V269872.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): 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 included 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. All three service users access other healthcare professionals such as incontinence advisor, Occupational Therapist 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. Crompton Drive (1) DS0000025250.V269872.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): 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. There are good relationships between the home and families, which creates an open environment for people to air views. There have been no complaints since the last inspection. The three 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. 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). The home has a “Whistle blowing” policy and an “expressing concerns policy” which give guidance in the event of suspicion of abuse. The Local Authority’s guidance for Adult Protection was displayed in the kitchen at the time of the inspection. This will go some way to ensure residents are protected from abuse. Crompton Drive (1) DS0000025250.V269872.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: All service users have their own bedrooms that reflect their personal choices such as pictures, photographs, CDs and their own bedding. 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 situated in an area where soiled items are not taken through the kitchen. Detailed infection control policies are in place and the company provides suitable personal protective equipment such as gloves and aprons. The home has arranged for clinical waste to be disposed of appropriately. The home is well maintained and appropriate lifting aids are provided. All hoists are regularly serviced. The bathroom is small but has been especially adapted to meet the needs of the service users and a walk in shower has been Crompton Drive (1) DS0000025250.V269872.R01.S.doc Version 5.0 Page 16 provided. Service users have moulded chairs for use in the shower so they are assisted in a comfortable and safe manner. Crompton Drive (1) DS0000025250.V269872.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 and 36 Staffing levels are sufficient to meet the needs of the service users. The service users would benefit from having a staff team that has met the 50 target of staff having NVQ level II in care. EVIDENCE: The inspection was unannounced and there were two support workers assisting three service users. This was sufficient to ensure that service users could go out to their chosen activities. Training records were not available at the time of the inspection, but the inspector was told that staff are working towards meeting the target of 50 achieving NVQ level II as this has not yet been achieved. Other training will be looked at the next inspection. Staff felt supported by the registered manager who works hand-on in the home. They said she is supportive and that regular 1-1 supervisions are held approximately 8 weekly to discuss areas of development or concern. Recruitment practices were not assessed during this inspection as the staff on duty did not have access to recruitment files. Crompton Drive (1) DS0000025250.V269872.R01.S.doc Version 5.0 Page 18 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. Staff meetings are held monthly and minutes were seen of these. 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. Moving and handling training is provided and reviewed to ensure staff are aware of safe practices. Crompton Drive (1) DS0000025250.V269872.R01.S.doc Version 5.0 Page 19 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 x 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 2 x x x 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Crompton Drive (1) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x DS0000025250.V269872.R01.S.doc Version 5.0 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard 32 Good Practice Recommendations 50 of the staff team should achieve NVQ level II in care. 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