Inspection on 14/07/05 for Dinorwic Road, 49

This inspection was carried out on 14th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Dinorwic Road, 49 14/04/08

Dinorwic Road, 49 06/09/07

Dinorwic Road, 49 26/06/06

Dinorwic Road, 49 20/01/06

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 49 Dinorwic Road 49 Dinorwic Road Southport Merseyside PR8 4DL Lead Inspector Elaine White Unannounced 14th July 2005 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 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 Stationary 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. 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 49 Dinorwic Road Address 49 Dinorwic Road Southport Merseyside PR8 4DL 01704 550490 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Speciality Care (Rest Homes) Limited Mr Ian Powell Care Home 3 Category(ies) of LD - Learning Disability registration, with number of places 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 3 LD. 2. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social care inspection. Date of last inspection 20th October 2004 Brief Description of the Service: 49, Dinorwic Road is a semi detached, converted property. which is located close to the ammenities of Birdale village and include shops, pubs and cafes. Public transport is availabe for access. The home is registered as a Home for life and can up to 3 residents. The home presently accomodates 2 young adults will a learning disability, who live in 2 semi units. Each resident has their own lounge and bedroom and share a bathroom, dining/kitchen, garden and small communal lounge. The provider is Speciality Care (Rest Homes) Ltd. There is 1 support worker on duty per shift and a registered manager is yet to be appointed. 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 4 hours. It was an unannounced visit and conducted as part of the regulatory requirement for care homes to be inspected at least twice a year. A tour of the building was conducted. Case tracking was conducted on the 2 residents to assess the care and support provided. Staff records were not viewed as these are stored centrally and will be viewed at the next inspection. A selection of home records was viewed. 1 support worker and 2 residents were spoken with and their views obtained of the home. Comments received have been favourable regarding the home and the very caring nature of the staff. The home must appoint a registered manager who has been approved by the Commission for Social care Inspection. This is highlighted within the requirements of this report. What the service does well: The service provides 2 semi-independent units to 2 residents who aim to move onto supported living schemes in the future. The residents have their own lounge and bedroom and share a bathroom, dining/kitchen and communal lounge. The residents do their own cooking, shopping and domestic duties with support and guidance from care staff. Both residents are responsible for their own finances and are encouraged to manage them with support. Residents meetings and communication records in place enable them to comment on the care and support provided. The residents are encouraged to maintain contact with family; friends and visitors are made welcome at the home. Both residents are to go on a holiday with residents from another unit and commented that they are looking forward to it. A core group of 8 staff provide 24-hour support with 1 support worker on duty each shift. Both residents provided positive comments on the staff employed and the support provided. “The staff are brilliant”. “The staff are so supportive and help me to motivate myself”. “I get on with all the staff who work here”. 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? 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 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 7 contacting your local CSCI office. 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 8 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 Standards Statutory Requirements Identified During the Inspection 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 9 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 standard(s) 1,3. An assessment of need is in place to ensure that the home can meet those needs. Information is in place, which describes the services provided, however this needs to include the situation regarding the absence of a registered manager. EVIDENCE: The residents have been accommodated at Dinorwic Road for 2 years and have been placed, initially as students, since 1990. Assessments are in place to enable the home to meet their needs. Observation, discussion with the residents and the support worker on duty confirmed that the home is meeting their needs. Both residents lead semi-independent lifestyles with minimum support from staff. Discussion with the 2 residents confirmed that they aim to move onto to supported living accommodation. 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 10 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 standard(s) 6,7,8,9,10. Each resident has a plan of care, which identifies his or her needs. Both residents are involved in the decisions about their lives and are consulted and participate in all aspects of life in the home. The residents are aware that the information about them is handled in a confidential manner. They are supported to take risks as part of their independent lifestyles. EVIDENCE: Records viewed and discussion with the 2 residents and care worker on duty confirmed that a plan of care is in place, which has been developed in consultation with the 2 young adults. Both residents have a mild learning disability and are capable of expressing their views. Both are involved in resident meetings, which are recorded. Access is available to an advocate, however both residents do not wish to have this service. One resident’s relative acts as her advocate and attends all her reviews. Both residents confirmed that they are involved in the planning of their own activity plans and are able to make choices regarding holidays, visiting friends and activities they wish to take part in. One resident who is in need of support and guidance from staff as she has been going through a difficult period said, “The staff have been 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 11 brilliant. So supportive and have helped me to motivate myself”. The resident explained that she is on a ‘care action plan’, which is being reviewed and monitored by care staff, resident and community nurse every 6 months. The residents and a carer from the home are planning a camping holiday during the summer. Both residents expressed that they are looking forward to it. Risk assessments were viewed to demonstrate that the residents are able to take responsible risks and enable them to make their own decisions. Both residents are semi-independent and have their own budgets, bank accounts and are supported to control their own finances. Both residents have access to information on them, which is securely stored. Policies and procedures are in place for confidentiality. 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 11,12,13,1415,16,17. The residents are involved in their care planning, activity plans and future development. Both residents take part in the local community, take part in a range of activities are opportunity to maintain contact with family, friends and have personal relationships. The residents shop and prepare their own meals, which consists of a healthy diet. EVIDENCE: Both residents spoken to confirmed that they lead a semi-independent lifestyle. They are involved in choosing activities, when they visit friends, holidays, employment and who they wish to stay at the home Records viewed and residents spoken to confirmed that they both complete their own activity programmes daily to demonstrate what they have done that day. Both residents are to go on a camping holiday with residents from another unit. Both expressed that they are looking forward to this. 1 resident has a part time job and has friends come to stay at the home. Both spoken to said they often have friends and family to visit and are made very welcome by the staff. As both residents have their own accommodation they are able to entertain family and friends in private. Both residents are able to access the local 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 13 community and use the local transport to do this. Both expressed that they walk a lot as “It keeps me fit”. as this Both residents shop and prepare their own meals, which are monitored by care staff. Both are aware of healthy eating. 1 resident is on a healthy eating plan as she aims to lose weight and explained that she has followed the plan and has successfully lost weight. “I go every week to the classes and feel great”. 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 18,19,20. The residents are involved in choosing how they receive care and support. Access is available to health care professionals when required and emotional care and support provided. Residents are responsible for their own medication where appropriate and policies and procedures are in place. EVIDENCE: Both residents said that they are involved in their care planning an support provided. Both are able to seek advice and guidance when needed and commented that staff “are lovely and are there to talk to when we need to”. One resident explained that she is in need of emotional support and encouragement to help her to keep motivated during a rehabilitation period. “The staff have been brilliant and supportive. They help keep me motivated”. Both are semi-independent and require minimum support. They confirmed that they do their own shopping, cooking, choose their own clothes and see to their own personal care. One resident explained that she receives weekly visits from her community nurse who is “very good” and monitors her medication and progress within her ‘care action plan’. One resident is on medication and self medicates. The resident records all medication taken and risk assessments are in place. Policies and procedures are in place for medication and medication is securely stored. Records are maintained for all contacts made i.e. social workers, family, hospital visits. 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 15 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 16 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 standard(s) 22,23. Residents’ views are listened to and policies and procedures are in place to protect them from abuse. EVIDENCE: Policies and procedures viewed, residents and staff spoken to confirm that policies and procedures are in place to deal with complaints and abuse. The residents in their own individual record book write any complaints and comments they wish to make. This enables the staff to respond and resolve the issue and the residents confirm their agreement with the outcome. Both residents said that they feel the system works well and it “helps me to say what I feel” Both residents said they are aware of the complaints procedure and have used this to raise a complaint both with the home and have contacted CSCI if they have needed to. 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 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 standard(s) 24,25,26,27,28,29,30. The residents live in homely, comfortable, clean accommodation. Both have their own self-contained units of accommodation, which suits their individual needs, choice and enables privacy. EVIDENCE: Two self-contained living areas are provided. These consist of their own individual lounge and bedroom. The residents share a bathroom and the dining/kitchen and small lounge is shared with the staff. Water temperatures are regularly recorded. A rear, enclosed garden is available. The home is brightly decorated and suited to the needs and lifestyles of the young adults resident. All areas were viewed at the request of the residents who commented that they are pleased with the accommodation and each contains their own possessions and are personalised to their own tastes. 1 resident has requested a new set of drawers for her bedroom. “I have nowhere to store my clothes”. Both have keys for access to the home and their rooms. Since the last inspection the ground floor bedroom has been decorated and the resident has a new couch in her lounge. 1 resident said she is to have a new carpet in her lounge “I have chosen it myself and it is being delivered tomorrow”. A number of outstanding requirements from the last inspection have not been 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 18 met in the times scales set (March 2005). These are included in this report and include – the repaving of the font garden/access and repair of the staff shower. During the inspection a number of repairs and improvements needed were noted and are included within the requirements of this report. These include – repair of staff bathroom door, decorate small lounge (due to recent leak) new drawer unit for upstairs bedroom and repair to rear garden wall. Discussion with staff, residents and viewing of the garden confirmed that regular maintenance of the garden is required and the provision of plants and shrubs would provide a pleasant area for the residents to sit in the summer and improve the standard provided. 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,36. A core group of staff provide continuity of care and support 24 hours a day. Staff are supported and supervised to meet the needs of the residents. EVIDENCE: A core staff group of 8 care staff provide continuity of care and support to the residents. Residents commented that they “Get on well with all the staff”. “The staff are lovely”. One member of staff is on duty per shift and a sleep-in duty is in place during the night. Views were obtained from the care worker on duty and records were viewed regarding the support and supervision in place. “The information is available so I know what has been going on since my last shift”. A daily log is in place, which records activities and day-to-day happenings at the home. Handovers take place to pass on information needed to the next shift and regular staff meetings are held. Staff supervision is in place and records maintained. Staff files were not viewed during this unannounced inspection, as they are stored centrally. These will be viewed at the next inspection to confirm that staff are recruited correctly, trained and receive the necessary job descriptions to enable them to carry out their roles and responsibilities to meet the needs 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 20 of the residents. There has been no new staff appointed to the home since the last inspection. 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,40,41,42. The home is yet to appoint a registered manager who is experienced and has been approved by the CSCI. This would improve the leadership and management and ethos of the home. The residents are protected by the home’s policies and procedures in place to. Records demonstrate that the residents health, safety and welfare are promoted. EVIDENCE: The home must appoint a suitably qualified and experienced registered manager who has been approved by the CSCI. This requirement is outstanding form the last inspection and time scale for action not met. (March 2005). This is included within the requirements of this report. Discussion with the residents and care worker on duty confirmed that the home is supported by the Director of Residential services who visits and conducts regulation 26 visits to monitor progress. Residents spoken to confirmed that they have regular meetings, which are recorded. Their individual comment and complaints books allow them to express their views on 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 22 the day-to-day running of the home. Both residents provided positive comments on the staff employed and the way the home is run. “I get on with all the staff”. “They have been so supportive”. Policies and procedures are in place and are available to staff. Staff sign their acknowledgement of these. All accidents and injuries are recorded. Risk assessments are in place for safe handling of substances. Records showed that fire checks have been completed, however these must be kept up to date and recorded as required. Insurance cover is in place but the home must ensure that the certificate of registration in displayed at all times. 49 Dinorwic Road F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 49 Dinorwic Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 1 3 x 3 3 3 2 F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Version 1.40 Page 24 yes 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 1 Regulation 4 Requirement Thre home must produce an up to date statement of purpose, which includes up to date information on the management of the home. The home must display the certificate of registration at all times. The home must complete the outstanding requirements from the last inspection. (Time scale not met March 2005). These include - repave front entrance/garden and repair staff shower. The responsible person must employ a registered manager. (Outstanding from last inspection). The home must complete the following repairs and improvements. Decorate small lounge, provide set of drawers in upstairs bedroom, repair rear garden wall, repair staff bathroom door, maintain rear garden and provide shrubs and plants to improve the standard. The home must maitain up to date fire and smoke detector record checks. F53 F03 S5232 49 Dinorwic Road V238099 140705 Stage 4.doc Timescale for action 30th Sept 2005 2. 3. 1 24 4 19 31st July 2005 30th Sept 2005. 4. 37 8 30th Sept 2005 30th sept 2005. 5. 24 19 6. 43 13 30th sept 2005. Page 25 49 Dinorwic Road Version 1.40 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. 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