Inspection on 19/02/06 for Crompton Drive (1)

This inspection was carried out on 19th February 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

Crompton Drive (1) 06/02/07

Crompton Drive (1) 17/12/05

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 19th February 2006 10.00 Crompton Drive (1) DS0000025250.V281437.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 Crompton Drive (1) DS0000025250.V281437.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. Crompton Drive (1) DS0000025250.V281437.R01.S.doc Version 5.1 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.V281437.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th December 2005 Brief Description of the Service: 1 Crompton 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.V281437.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over three hours. It included discussions with the registered manager, talking to the staff member on duty, observing staff interaction with service users and looking at documentation. What the service does well: What has improved since the last inspection? What they could do better: Service users would benefit from changes to the rear garden. Although it is accessible it is restrictive in layout and consideration should be given to make it more user friendly. Crompton Drive (1) DS0000025250.V281437.R01.S.doc Version 5.1 Page 6 The registered manager is currently undertaking the Registered Manager’s Award and aims to complete this within the next few months. 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.V281437.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 Crompton Drive (1) DS0000025250.V281437.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 as there have been no new admissions. EVIDENCE: Crompton Drive (1) DS0000025250.V281437.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 The care plans and Essential Life Plans provide staff with clear details on how to assist service users with their goals and aspirations. EVIDENCE: There have not been any changes to the care planning systems since the last inspection in December 2005. They continue to address the needs of service users in relation to communication, diet, social needs, medication, friendships and mobility. They continue to be reviewed every three months unless there is a need to review more frequently due to a specific changes, and service users are involved as much as they are able or wish to during this. Staff spoken to had excellent knowledge of individual needs and could explain how service users made their needs and wishes known despite having little verbal communication. Crompton Drive (1) DS0000025250.V281437.R01.S.doc Version 5.1 Page 10 Risk assessments were in place for identified hazards such as bathing, eating inappropriate objects, deterioration of skin due to incontinence and the risk of scalding. The manager and staff member were clear that identifying risks does not impede independence or development for service users. There was evidence that risk assessments are reviewed regularly. Crompton Drive (1) DS0000025250.V281437.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): 11,12,13 and14 The staff team ensure that service users are offered opportunities to appropriate leisure and social activities in the local community. EVIDENCE: Staff were seen to encourage service users to make decisions and provided opportunities for them to be in control over matters that affected them. They were asked how they would like to spend the day and were offered choices of meals. One service user confirmed that she had recently been on a shopping trip with staff and had bought clothes of her own choice. 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 using local restaurants, pubs, swimming pools and bowling alleys. Crompton Drive (1) DS0000025250.V281437.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: Crompton Drive (1) DS0000025250.V281437.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: Crompton Drive (1) DS0000025250.V281437.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 comfortably furnished. There is access to the rear garden but service users would benefit from this being up-dated. EVIDENCE: This home is a bungalow with single accommodation provided for all service users. There is a spacious lounge and dining area, which provides suitable access for those who use a wheelchair. The home was warm, clean and airy on the day of the inspection. The rear garden is accessible by the use of a ramp, but the layout of the garden is restrictive. It is recommended that consideration be given to making this space more usable for all three of the service users. 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. Crompton Drive (1) DS0000025250.V281437.R01.S.doc Version 5.1 Page 15 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 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.V281437.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): 31, 32, 33, 34, 35 and 36 Staffing levels are sufficient to meet 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 staff team is small as there is the manager and five support workers. However despite having two full time vacancies in the team the rota showed that staffing levels have been sufficient to meet the needs of the service users. Commitment from the team has meant that the home has not been dependent on agency staff and continuity has been provided. Staff are well trained as records, certificates and discussions with staff confirmed that regular ongoing training is provided for such areas as first aid, moving and handling, food hygiene and health and safety. Staff spoken to told the inspector that additional training is provided that is relevant to service users’ needs such as peg-feeding and challenging behaviour. There is also a commitment from the company to train staff in NVQ level II in care. The staff file was looked at for the most recently appointed member of staff, which confirmed that all necessary clearances are obtained prior to offering a position. This included two references, proof of identification, a Criminal Records Bureau Disclosure and a completed application form. It is Crompton Drive (1) DS0000025250.V281437.R01.S.doc Version 5.1 Page 17 commendable that service users are introduced to candidates as part of the process and that their views are taken into account. Staff on duty and staff spoken to on the previous inspection said they are well supported by the manager who also works “hands on” in the home. She offers day-to-day informal supervision through direct observation, and staff files confirmed that regular supervisions are held on a more formal basis with minutes being kept of these. Crompton Drive (1) DS0000025250.V281437.R01.S.doc Version 5.1 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 43 The home benefits from an excellent manager who ensures that it is service user led. EVIDENCE: The member of staff on duty spoke highly of the manager and feels well supported and trained by her. Observations throughout the inspection confirmed that the manager acts as a role model for staff and always puts service users’ needs first. The staff member spoke of “good communication” within the team, which ensures a consistent approach to care that is always person centred. The manager is registered with the Commission for Social Care Inspection and is currently undertaking the Registered Manager’s Award. She is experienced and competent to manage the staff in the home and has good leadership skills. She ensures that the team are equipped with the training, knowledge and skills required to carry out their roles in a professional manner. Crompton Drive (1) DS0000025250.V281437.R01.S.doc Version 5.1 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 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 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 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 2 3 x x x x 3 Crompton Drive (1) DS0000025250.V281437.R01.S.doc Version 5.1 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 2 Refer to Standard 24 37 Good Practice Recommendations It is recommended that consideration is given to making the rear garden more service user friendly. It is recommended that the manager complete the Registered Manager’s Award. 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