Inspection on 14/04/08 for Dinorwic Road, 49

This inspection was carried out on 14th April 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Dinorwic Road, 49 06/09/07

Dinorwic Road, 49 26/06/06

Dinorwic Road, 49 20/01/06

Dinorwic Road, 49 14/07/05

Dinorwic Road, 49 20/10/04

Dinorwic Road, 49 14/04/04

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 Dinorwic Road, 49 49 Dinorwic Road Southport Merseyside PR8 4DL Lead Inspector Elaine Stoddart Key Unannounced Inspection 14th April 2008 13:45 Dinorwic Road, 49 DS0000005232.V361854.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 Dinorwic Road, 49 DS0000005232.V361854.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. Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dinorwic Road, 49 Address 49 Dinorwic Road Southport Merseyside PR8 4DL 01704 550490 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) No email Speciality Care (REIT) Homes Ltd vacant post Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 3 LD Date of last inspection 6th September 2007 Brief Description of the Service: 49, Dinorwic Road is a semi detached, converted property, which is located close to the amenities of Birkdale village shops, pubs and cafes. Public transport is available for access. The home is presently registered as a Home for life’ and can accommodate up to three residents with a learning disability. Since the last inspection three new residents have moved into the property. The provider is Speciality Care (REIT) Homes Ltd. The responsible person is Mr Peter Cavanagh. The home manager is Ms Sam Faria who is responsible for the day-to-day running of the service. The weekly fee rate for accommodation ranges from £858.00 to £1,500.00 per week. . Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 stars. This means the people who use this service experience adequate quality outcomes. A site visit took place as part of the unannounced inspection. It was conducted over one day for a duration of approximately six hours. Three residents were accommodated at this time. A tour of the premises took place and a number of care, staff and health and safety records were viewed. Discussion took place with two residents, two staff and the home manager. During the inspection two residents were case tracked (their care files were examined and their views of the service were obtained). This was not carried out to the detriment of the other resident who also took part in the inspection. All the key and other standards were inspected during the site visit. Satisfaction survey forms “Have Your Say About …” were distributed to a number of residents, relatives and staff prior to the inspection. A number of comments received from surveys and interviews that were conducted are stated in this report. An AQAA (annual quality assurance assessment) was completed by the manager prior to the site visit. The AQAA comprises of two self questionnaires that focus on the outcomes for people. The self assessment provides information as to how the manager and staff are meeting the needs of the current residents and a data set that gives basic facts and figures about the service, including staff numbers and training. Information from the AQAA is included in this report. What the service does well: Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 6 Since the last inspection three new residents have moved into the property. The residents were placed in 49, Dinorwic Road on a temporary basis due to a fire in their previous home. The residents are now to remain at 49, Dinorwic Road and consultation with all interested parties has taken place. The residents have been settled into their new environment with the support and guidance of the existing staff group who have transferred with them to enable continuing care and support to the residents. Residents spoken with commented that they are happy and settled in their new home. Full assessments of need are obtained prior to admission to ensure the service can meet the residents’ needs. Risk assessments are in place for all activities and the environment and are reviewed regularly. The residents are fully involved in making choices in their daily living and take part in resident meetings and reviews. The residents have a full activity programme, which promotes equality and diversity as they take part in age appropriate activities, which include pub and club outings and individual activities of their choice and interests. The residents have recently been on a short break to Anglesey and residents spoken with said they had enjoyed this very much. The three residents maintain contact with their families and other peers as part of their activity programme. Families and visitors are made welcome to visit the residents when they wish. What has improved since the last inspection? What they could do better: Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 7 The manager is making improvements to the accommodation since the residents were moved there on an emergency admission as a result of a fire in their previous accommodation. Requests for equipment, furniture and fittings have been made and are gradually being replaced. Other items of furniture are still waiting to be supplied and these include – desks, chairs for the three residents and a new dining table to accommodate the three residents and two staff. A new settee in the lounge should be provided to replace the existing one due to wear and tear. It is recommended that a new carpet in one residents room, identified during the site visit, should be replaced due to being badly stained and the sink be ‘blocked in’ to improve the standard of the bedroom. The broken fence in the rear garden should be repaired. The accommodation would benefit from redecoration to improve the standard for the residents who live there. Radiator covers should be provided throughout the accommodation to ensure residents safety. Radiator risk assessments were not in place, however the home manager immediately rectified this at the time of the visit and the bed in one of the residents’ rooms moved away from the radiator. At the time of the visit the service failed to have an up to date electrical certificate. This was brought to the attention of the home manager, Sam Farier and Paul Sadler who confirmed that this will be completed within the next two weeks. A copy of the certificate is to be forwarded to the Commission for evidence and a requirement is made within this report. The computer is presently broken and requires repair. This restricts the home manager from accessing systems to update the service records. Care plans are in place for the three residents and are reviewed every six months by all involved in their care. It is recommended that the home manager should review care plans monthly to reflect the changing needs of the residents since their change in circumstances. This will enable the service to demonstrate that they are monitoring residents’ progress closely as they adjust to their new home. A training programme is in place and includes all the statutory training required. Discussion with staff and viewing of records showed that some training needs updating, such as manual handling and first aid. This will ensure the staff are equipped with the skills to carry out their roles. The home manager confirmed that first aid has been arranged for May 2008. It is recommended that training is arranged in manual handling for those staff who need updating. Records showed that of the eleven care staff employed only two are qualified in National Vocational Qualifications (NVQ). One staff member has recently enrolled on NVQ 3. This should be improved so that 50 of the staff employed are qualified in at least NVQ Level 2. Staff sample signatures should be updated to identify the relevant staff in place who administer the medication. Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 8 Paul Sadler, acting manager has made an application to the Commission to be approved as the registered manager. A new certificate of registration should then be supplied to reflect the position of the service. At present the certificate still states the previous manager. A new statement of purpose and service user guide should be put in place to reflect the service provision and management change. 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. The summary of this inspection report can be made available in other formats on request. Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 9 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 Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments of need are obtained prior to admission to ensure the staff can meet residents’ needs. EVIDENCE: The service provides a ‘Home for life’ for three residents who have lived within the Arden network for some years. Full assessments are in place to ensure the home can meet the residents’ needs. These include information on the residents’ health, personal, communication, behavioural cultural and faith needs. Three new residents have recently moved into the service due to an incident in their previous home. The residents were accommodated initially on a temporary basis and a decision has been made, involving the residents, their families and all interested parties in their care, for the residents to remain at 49, Dinorwic Road. The home manager Sam Faria and the staff who worked with the residents have all moved with them to enable continuing support to help the residents adjust to their new surroundings. Two residents were spoken with and expressed that they had settled in and were happy in their new environment. All three residents were observed to be relaxed and comfortable and chatted freely with staff on duty and interacted with each other. A pleasant atmosphere was in place during the visit. Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 11 Paul Sadler, the acting manager has made an application to the Commission to be approved as the registered manager. A new statement of purpose and service user guide should be put in place to reflect the service provision and management change. A recommendation has been made in this report. AQAA received evidenced that this is to be updated to reflect the current service provision. Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in making decisions, are consulted on, and participate in all aspects of life in the home. EVIDENCE: Records viewed and discussion with the staff on duty confirmed that care plans are in place and have been developed in consultation with the residents and other professionals involved in their care. Records showed that care plans are reviewed every six months with the residents, their families and other professionals. It is recommended that the home manager should review care plans monthly to reflect the changing needs of the residents since their change in circumstances. This will enable the service to demonstrate that they are monitoring residents’ progress closely as they adjust to their new home. Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 13 Communication assessments are in place to show how best to communicate with the residents. Two of the three residents have limited communication although they are able to express their views to staff who have known and worked with them for a number of years. Staff were observed to communicate effectively with the residents and the key worker system (individual staff who work closely with the resident) enables staff to appreciate residents’ cultural and religious beliefs. Picture displays are used to assist communication and the residents were observed to use these when asked to comment on the staff and activities. Their views are sought through resident meetings, surveys, reviews and their comments are sought during the monthly provider visits. Access is available to an advocate should they need this service. Staff discuss daily, the routines, activities and menus with the residents. A resident spoken with confirmed that she is involved in choosing her activities and meals. The residents have recently been on a holiday to Anglesey with staff support and they expressed that they had enjoyed it very much and had taken pictures of the trip. Staff enable the residents to take responsible risks and risk assessments are in place for all activities and environmental issues. The home manager reviews these regularly. The staff manage residents’ finances and records seen showed that receipts are obtained for all transactions and recorded with countersignatures. Two of the three residents hold their own bank accounts. The head office manage individual students accounts and a monthly statement is provided to the residents to show balance, monies spent and individual interest obtained. Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents engage in age, peer and culturally appropriate activities of their choice. EVIDENCE: Care plans seen outline the residents social, cultural needs and their likes and dislikes. The staff are aware of equality and diversity issues and assist the residents to take part in activities which are appropriate to the adult age. Plans showed the range of activities the residents have access to with staff support. These range from disco’s, pub and club visits, swimming, leisure centre visits and rambling. One resident had just returned from a ‘Rambling’ group and expressed that she had a good day and was “Full of mud”. Additional support from a link worker enables the resident to access this group individually. The new accommodation in located in an area, which is accessible to the town centre by local transport. Staff confirmed that the travelling is taking some time for the residents to adjust as their previous home was located in the town centre and close to all the amenities within. Staff are continuing to support the residents to access familiar facilities and are integrating them into the new Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 15 community in which they now live. A carer spoken with commented, “Access to the town centre is difficult for the residents but we are getting there”. The residents are unable to access employment in view of their learning disabilities and the risks identified. The home manager is to pursue further education access for one of the residents. All three residents have recently been on a short break to Anglesey in a cottage by the sea, which was partially funded by the company. Staff spoken with said this was a big help to enable them to overcome their move to a new home. Residents spoken with said they had a great time and pictures were seen of the trip. Staff encourage the residents to develop and maintain personal and family relationships within the policies and procedures of the service. The residents have regular family contact; some go home for short stays while others have family visit the home to see them. The staff encourage visitors and make them welcome. The daily routines are flexible and residents are involved in making decisions about what they wish to take part in. They are involved in daily living tasks and take part in the weekly shopping and planning of menus. The residents were observe to eat their evening meal in a pleasant, relaxed atmosphere and chatted to staff throughout about their day. The purchase of a new dining table to accommodate five people would benefit the three residents and two staff as they would all be able to sit together to eat their meals and talk to the residents. Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents receive support in the way they prefer and physical and health care needs are met. EVIDENCE: Records showed that all residents have access to health care professionals and reviews are undertaken for their specialist care needs. Regular monitoring of the residents specific needs takes place and staff have instructions on what to do to prevent incidents arising and deal with the individual needs of the residents. Behavioural progressive plans assist the staff to manage behaviour and put preventative measures into place. Medication policies and procedures are in place to ensure medication is administered safely. Staff are trained in medication and the home manager monitors competency in the staff supervision sessions. All medication is securely stored. The staff sample signatures for medication administration should be updated and is recommended in this report. Care plans outline the support required and how this is to be delivered by the staff. Many of the staff have worked with the three residents for some years Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 17 and confirmed they are aware of needs and wishes. Designated key workers enable the residents to have support and guidance from an individual who is fully aware of their care needs. The residents are aware of who their key worker is and demonstrated this using pictures to aid communication. Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel listened to and are protected from harm. EVIDENCE: Staff files viewed showed they are recruited following the correct procedures to ensure the safety of the residents. These include Criminal Record Bureau (CRB) checks prior to employment and two written references. Policies and procedures are available to staff to refer to should any concerns be raised and staff confirmed they are aware of what action to take. All staff are trained in abuse awareness and a copy of the local ‘Safeguarding Adults’ procedures are available to staff. A complaints policy and procedure is in place and displayed in an accessible format. A resident spoken with said, “If I wasn’t happy I would tell Sam the manager”. There have been no concerns raised with the Commission since the last visit. Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24,25,26,27,28,29,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Failure to provide an up to date electrical certificate puts residents at risk. EVIDENCE: All areas of the accommodation were viewed. The laundry equipment is located within the kitchen and control of infection measures and risk assessments are in place. The residents were observed to be relaxed and comfortable in their environment. The staff were observed to treat the residents with dignity and Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 20 respect at all times and knocked on their rooms prior to entering. Resident’s rooms have locks should they need this facility. Lockable facilities for valuables are available, however the home manager confirmed that staff assistance is required as the residents have difficulties with keys. A resident spoken with said she is happy with her new home and satisfied with her room. Comments included: I like it here” “My room is lovely”. The manager is making improvements to the accommodation since the residents moved there on an emergency admission as a result of a fire in their previous accommodation in November 2007. Requests for equipment, furniture and fittings have been made and are gradually being replaced. Other items of furniture should be supplied and repairs and redecoration made. These have been recommended in this report to improve the standard for the residents who live there. Radiator covers should be provided throughout the accommodation to ensure residents safety. Radiator risk assessments were not in place, however the home manager immediately rectified this at the time of the visit. At the time of the visit the service failed to have an up to date electrical certificate. This was brought to the attention of the home manager, Sam Farier and Paul Sadler who confirmed that this will be completed within the next two weeks. A copy of the certificate is to be forwarded to the Commission for evidence and a requirement is made in this report. Work is presently being done to extend the emergency lighting system and checks with be made regularly by the manager on completion. The manager confirmed that a fire risk assessment of the building is to take place in the next week. The computer is presently broken and requires repair. This restricts the home manager from accessing systems to update the service records. Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported by staff who are recruited under the correct procedures to ensure their safety. EVIDENCE: An effective staff team, in sufficient numbers provide the care and support to the residents. Two staff provide cover 24 hours a day. The staff group have moved with the residents to the new home to enable continuity of care. Many of the staff have worked with the residents for some years. Residents were relaxed in their environment and chatted freely to staff on duty. Comments from a resident: “I get on with all the staff”. A number of staff files were viewed to evidence training received and to ensure that the correct recruitment and selection procedures have been followed to ensure the safety of the residents. A training plan for the service is in place and certificates on files confirmed that the plan covers all the areas of training required and training completed. It was noted two staff should be updated in manual handling training, as this is out of date. A recommendation has been made in this report. The staff group receive training in equality and diversity and abuse to ensure they have knowledge of the residents’ diverse needs and how to protect them. Staff undertake a weeks induction prior to staring work Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 22 and this involves ‘shadowing’ other staff in their roles. The home manager said that a new induction process is being introduced for all new employees. Staff spoken with confirmed they were happy in their roles and receive supervision form their home manager. Staff commented: “I think the residents have settled well in their new home although it is now a distance for them to travel into town where they had all the amenities close by”. “I would like to do NVQ but I can’t as I am only part time and the full time get priority” “I like working here we are a very good team”. “I have worked with the residents for twelve months and feel I know them well” “The training is good some needs updating now” Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39,42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The failure to provide an up to date electrical certificate puts the residents safety at risk. EVIDENCE: The manager Sam Farier has twelve years experience of working with this client group. She is the registered manager for the previous home, has worked with the residents for some time and is qualified in NVQ Level 4. The atmosphere was found to be pleasant and relaxed and the residents were observed to interact well with the manager and staff on duty. The manager has worked hard to ensure the residents have settled well into their new home at 49, Dinorwic Road and has been supported by her staff to integrate them into a new community. Staff spoken with commented: Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 24 “I like working here we are a very good team and Sam is very supportive” “I get a lot of support form Sam. I have regular supervision” The provider to assess the service conducts quality-monitoring visits monthly and residents are spoken with to obtain their views. Residents and relatives also complete annual surveys. Policies and procedures are accessible to staff and regularly updated. The computer is presently broken and requires repair. This restricts the home manager from accessing systems to update the service records. The AQAA provided information on certificates for services. A selection was checked and it was noted the service failed to have an up to date electrical certificate. This was brought to the attention of the home manager, Sam Farier and Paul Sadler who confirmed that this will be completed within the next two weeks. A copy of the certificate is to be forwarded to the Commission for evidence and a requirement is made in this report. Fire drills take place and records are made of those who took part. Work is presently being done to extend the emergency lighting system and checks are to be made regularly by the manager on completion. The home manager confirmed that a fire risk assessment of the building is to take place in the next week. A copy is requested to be forwarded to the Commission. The staff training plan seen showed that it covers all the statutory training needs, however (as stated in the above section on staffing), manual handling training should be arranged for staff where it is out of date. Records are kept of all accidents and incidents for both residents and staff. Risk assessments seen are reviewed regularly for safe working practices. Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 25 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 2 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 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 26 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 YA42 Regulation 23 Requirement The responsible person shall ensure that an up to date electrical certificate is obtained to ensure the premises provides a safe place for the residents to live. Timescale for action 30/04/08 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 YA1 Good Practice Recommendations A new statement of purpose and service user guide should be put into place to reflect the service and management. These should include the details as stated in Standard 1 of the Care Standards Act 2000. It is recommended that the home manager should review care plans monthly to reflect the changing needs of the residents since their change in circumstances. This will enable the service to demonstrate that they are monitoring residents’ progress closely as they adjust to their new home. Staff sample signatures should be updated to identify the relevant staff in place who administer the medication. 2 YA6 3 YA20 Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 27 4 YA24 New furniture should be provided to improve the quality of life for the residents and accommodation. These include desks, chairs for the three residents, a new dining table to accommodate the three residents and two staff, a new settee in the lounge to replace the existing one due to wear and tear. A new carpet in one resident’s room, identified during the site visit, should be replaced due to being badly stained and the sink be ‘blocked in’ to improve the standard of the bedroom. The broken fence in the rear garden should be repaired. The accommodation would benefit from redecoration to improve the standard for the residents who live there. The computer is presently broken and requires repair. This restricts the home manager from accessing systems to update the service records. Radiator covers should be provided throughout the accommodation to ensure residents safety. It is recommended that training is arranged in manual handling for those staff who need updating. A copy of the fire risk assessment should be forwarded to the Commission on completion. Emergency lighting checks to be conducted and recorded on completion of the system being extended. 5 YA24 6 7 8 9 YA24 YA35 YA42 YA42 Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Waterloo, Liverpool L22 OLG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Dinorwic Road, 49 DS0000005232.V361854.R01.S.doc Version 5.2 Page 29 - 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. 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