Inspection on 06/02/07 for Crompton Drive (1)

This inspection was carried out on 6th February 2007.

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) 19/02/06

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 Lesley Owen Unannounced Inspection 6 February 2007 09:30 th Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 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.V307022.R01.S.doc Version 5.2 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.V307022.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crompton Drive (1) Address 1 Crompton Drive Croxteth Park Liverpool Merseyside L12 0JX 0151 546 6093 0151 546 6093 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.V307022.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th February 2006 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.V307022.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit began at 2.45pm on the 6th February 2007 and took place over two and a half hours. Throughout the inspection the support workers on duty at the time were present. During the inspection time was also spent examining records held for the service users living at the home, a sample of maintenance records were also seen and a tour of the house was made. In addition the manager had completed a pre-inspection questionnaire which provided the inspector with additional information. What the service does well: What has improved since the last inspection? What they could do better: Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 Page 6 Service users would benefit from the proposed changes to the rear garden, which is understood will make it more user friendly. 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.V307022.R01.S.doc Version 5.2 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.V307022.R01.S.doc Version 5.2 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 quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Services users needs would be assessed prior to being admitted to the home to ensure that their identified needs can be met. EVIDENCE: As no service users have been admitted to the home for a number of years assessment procedures have changed significantly. The organisation have clearly identified procedures in relation to the assessment process and comprehensive guidelines as to who should be involved which would be used if a new service user were to be assessed in the future. Records held indicated that prospective residents would have a full assessment and all parties involved in their care would be consulted and involved in this process where possible. The current charges at Crompton Drive are £291.45 per week and service users pay rent of housing association who own the property. Additional charges are made for hairdressing, leisure activities, other personal items and £41.05 is payable for transport. Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 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 quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Care plans and Essential Lifestyle plans were in place to ensure the individual needs of the service user were met and provided staff with detailed information on how to assist service users. Risk assessments were in place to minimise identified risks and to support work with the service users. EVIDENCE: There have been no changes to the care planning systems in the home since the last inspection in February 2006. The care plans and essential lifestyle plans for one service user was inspected in detail. It was informative, detailed and easy to read. The information contained provided staff with comprehensive information about the service users’ needs, likes and dislikes, diet, medication, communication and mobility. Each file includes a comprehensive personal and social history as well as family background where known. Care plans continue to be reviewed at three monthly intervals unless there is a change in the service users personal circumstances, in which case their care would be renewed more frequently. Evidence was provided that service users are involved in care planning and are consulted on drawing up the Essential Lifestyle Plans as much as they are able or wish to do. Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 Page 10 Service users are encouraged to help with the day-to-day running of the home where possible. Evidence was provided to support this in the care plans and daily activities records. They are involved in the weekly shopping, house meetings, and choosing places to go on group outings as well as on an individual basis. Staff on duty at the time of this visit had an excellent knowledge of the individual needs of service users, and could talk in detail of what service users liked and didn’t like and how they communicated their wishes although they have little verbal communication. Personal and environmental risks assessments are carried out, reviewed on a regular basis and changed if necessary. Risk assessments were in place for identified hazards such as bathing, eating, deterioration of the skin due to incontinence, the risk of scalding and eating inappropriate objects. It is understood that the format in use for recording risk assessments is to be changed in the near future. Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 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 quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. The individual interests of service users are promoted whilst maintaining their safety. The staff team ensure that service users are offered opportunities to take part in appropriate leisure and social activities in the local community. EVIDENCE: The individual needs and choices of all service users are respected and personal goals are reflected in the Essential Lifestyle plans. Service users have individual activity programmes and activities undertaken by service users each week are maintained on their files. Staff encourage service users to make decisions about what they do where possible and activities are planned on an individual basis. The range of activities on offer included music, shopping, and visiting local places of interest. All activities are subject to risk assessment and service users are supported by staff. The home has its own transport allowing service users to access community activities easily. The staff team have a good understanding of the rights of the individuals who have a learning disability to access local facilities as any other citizen of the community. From observation and discussion the staff on duty clearly see their Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 Page 12 roles as enablers and encourage service user’s independence and decision making as far as possible. From observation during the inspection the inspector was able to confirm that service users rights are respected through knocking on service users bedroom doors and asking permission from service users before showing the inspector service users bedrooms. All bedrooms have locks on the doors, should a service user wish to lock their door. Observation during the inspection confirmed that service users can choose to be on their own or in a group as was seen at the start of this visit when one service user was having an afternoon nap. There are no restrictions around visitors and staff encourage and support service users to maintain family links. Staff prepare service user meals and records are kept of the food provided. Where a service user requires assistance to eat the appropriate support is provided by staff. Specialist advice in relation to service users dietary needs is sought when required. One service user requires peg feeding and the home has developed good relationships with the dietician. Discussion with staff on duty and examination of the care plan confirmed that staff have received the training and guidance in this area. Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 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 quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Care plans give clear guidance to staff to assist the service user in the way that meets individual needs. Medication procedures are in place and arrangements are in place to ensure that service user receive and have access to all healthcare services. EVIDENCE: All of the service users living at the home require varying degrees of assistance with personal care and how this should be provided is set out in their care plans. All personal care is provided in service user’s bedrooms or in the bathroom and staff respect their privacy as much as possible whilst maintaining their safety. The file inspected included specialist assessments undertaken and assistance provided appropriate technical is available which is regularly serviced. Service users have access to appropriate primary health care and a member of staff always accompanies them to appointments. Appropriate arrangements are in place for service users to access the services of an optician, dentist, chiropodist or other health care professionals as required. The home has contact with the continence adviser, dietician, peg feed and district nurse when required. Wheelchair assessments are completed yearly. Records confirmed that service user are provided with on-going support to ensure their physical, emotional and health care needs are met. Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 Page 14 Records relating to the receipt, storage, recording, handling, administration and disposal of medication were satisfactory. The home uses a monitored dosage system for the administration of service users medication where possible. Medication was stored in a suitably secured cabinet and records were up to date and accurate. The inspector was informed by staff on duty that they have received training on the administration of medication. Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 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 and 23 The quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Policies and procedures are in place to protect and promote the rights of service users. EVIDENCE: There have been no changes in relation to how a complaint would be dealt with since the last inspection. The organisation has a detailed complaints procedure with timescales for action and responses to concerns raised. It is understood that the manager has made sure that all service users and/or their relatives have had a copy of the complaints procedure. No complaints have been made to the Commission for Social Care about the home since the last inspection or received by the home. As the three people who live at Crompton Drive have communication difficulties it is unlikely that they would be able to register a formal complaint using this procedure. As the manager and staff know the service users very well they are aware of changes in their behaviour and gestures that may indicate the person is not happy and respond if they become upse, indicate disapproval in situations or are upset about something. Staff are given guidance around “Awareness of Abuse” through National Vocational Qualification (NVQ) in care and through the Learning Disability Award Framework (LDAF) training as well as during induction. The home has a Whistle Blowing procedure and a comprehensive “expressing concerns” policy, which staff are required to familiarise themselves with this on commencement of employment which provides advice on how to handle any issues of abuse. Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 Page 16 The home has a policy in relation to management of service users money and financial affairs. Service users monies checked during this inspection were satisfactory. Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 Page 17 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 quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. The home is domestic in character and provides service users with a safe, homely and well maintained environment EVIDENCE: The home is a bungalow situated in a residential area of the city it is in keeping with other properties in the area and there are no outward signs that it is a care home. Accommodation includes a spacious lounge and dining area, which provides suitable access for those who use a wheelchair. Three bedrooms, a domestic style kitchen and bathroom. On the day of this visit the home was warm, clean and airy. There is access to the gardens at the rear of the building. At the time of this visit the garden fencing and furniture had been damaged by the high winds and was in need of tidying up. The inspector was informed that this was already in hand and they are waiting for work to begin. It is understood that plans have been approved to undertake work in the garden area to make them more accessible to people living at the home. The home is comfortably furnished and provided a domestic and homely environment. There is an on-going programme for decoration and the home is Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 Page 18 to be decorated this year. Repairs are undertaken by the housing association who own the property and staff were waiting for the repair service to visit as they had been experiencing problems with the hot water temperature to the wash hand basin in the bathroom. Appropriate aids to assist with bathing were provided. Laundry facilities are situated in a utility area that has been created at the back of the garage. There are detailed infection control policies in place and the company provides suitable personal protective equipment such as gloves and aprons. The home has arrangements in place for the disposal of clinical waste. Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 Page 19 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, 34, 35 and 36 The quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Staffing levels are sufficient to meet the needs of the service users. Recruitment practices are robust to protect service users. Training and supervision is on going to ensure staff have the skills and knowledge to meet service user needs. EVIDENCE: The inspector was informed that there have been no changes in the staff group since the last inspection as two new staff who were appointed left after a short period of time. The current staff team comprises the manager and five support workers, there are two full time vacancies. The staff team have worked together for approximately three years and have a strong commitment to service users. The rota showed that staffing levels are maintained through staff working additional hours and the use of bank/relief staff known to service users which enables continuity of care to be provided. This inspection was unannounced and there were two support workers to assist three service users one who was providing supervision for residents in the house whilst the other was sorting out the laundry in the utility area. All documentation relating to staff is stored in a locked cabinet and only the manager has the key, therefore records could not be inspected. However as staff files were inspected during the visit in February 2006 and no new staff have been employed in the home and the standard was met at the time of the last inspection, this will remain the same. Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 Page 20 Staff on duty were able to confirm that regular on-going training was provided including specialist training relevant to the individual service users needs e.g. peg feeding. There is also a commitment from the company to train staff in NVQ level 2 in care and two staff have achieved this and two are currently undertaking it. Staff on duty felt supported by the manager and a comment made was “she’s the best”. They confirmed that regular supervision was provided and a staff meeting had been held the previous day. Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 Page 21 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, 41, 42 and 43 The quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. The home is well maintained to ensure the safety of service users and staff. The home benefits from having a manager who ensure that it is a user led service. EVIDENCE: The manager of the home was not on duty at the time of the inspection, but the staff on duty told the inspector they felt supported by her and received clear guidance. The manager is registered with Commission for Social Care Inspection and has completed the Registered Managers Award and the NVQ Assessor’s award. From observation and discussion it was confirmed that staff at home are aware of their roles and responsibilities and that they work as a team. This was evidenced throughout the inspection when staff were observed supporting service users and working together. The Service Manager carries out the Regulation 26 visits to the home which involves carrying out an audit of all aspects of the service users health and Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 Page 22 welfare, accidents, risk assessments and staffing levels and forwards a copy to CSCI It is understood that a financial audit is carried out once a year by the organisation and an annual survey is sent out from head office to the relatives of service users asking for their views of the home and service provided. A random sample of records held in the home were checked, these included, fridge and freezer temperatures, gas safety certificate, PAT testing and fire safety, all were satisfactory. The pre-inspection questionnaire also confirmed that other checks in relation to maintaining a safe environment had been undertaken Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 Page 23 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 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 x 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 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 x x 3 3 x Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Crompton Drive (1) DS0000025250.V307022.R01.S.doc Version 5.2 Page 25 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. 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