Inspection on 20/01/06 for Dinorwic Road, 49

This inspection was carried out on 20th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

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 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 Mrs Elaine White Unannounced Inspection 20th January 2006 09:00 Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 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) Speciality Care (Rest Homes) Limited Mr Ian Powell Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 3 LD The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 14th July 2005 Date of last inspection 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 registered as a Home for life and can accommodate up to 3 residents. At present two young adults with learning difficulties live in two semi-independent 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 one support worker on duty per shift. A registered manager, approved by the Commission for Social Care Inspection is yet to be appointed. Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection 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 two residents to assess the care and support provided. Staff records were viewed at the college, as these are stored centrally. A selection of home records was viewed. One support worker and the two residents were spoken with and their views obtained regarding the care and support provided. Comments received were favourable regarding the home and the support in place. The home is yet to 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 two semi-independent units to the two 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 access the local community independently or with staff support when required. Both residents have a part time job, which enables them to develop and mix with others within the local area. A core group of five staff provide 24-hour support with one support worker on duty each shift. Both residents provided positive comments on the staff employed and the support provided. “The staff are absolutely brilliant”. Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 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 contacting your local CSCI office. Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3. An assessment of need is in place for both residents accommodated. Information on the services provided will be updated once the future of the home is determined. EVIDENCE: The residents have been accommodated at Dinorwic Road for over two years. Both were initially placed as students in 1990 in one of the college establishments. Assessments are in place to enable the home to meet their needs. Viewing of records and 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 both residents confirmed that they aim to move onto to supported living accommodation in the future and a planned transition will take place. The statement of purpose is to be processed once the future of the home is determined. Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7. Each resident has a plan of care, which identifies his or her needs. Both residents are involved in the decisions about their lives, are consulted and participate in all aspects of life in the home. EVIDENCE: Records viewed and discussion with both residents and support worker on duty confirmed that a plan of care is in place, which has been developed in consultation with the young adults. Both residents are capable of expressing their views. Both are involved in resident meetings, which are recorded. Access is available to an advocate who is providing support to one resident. One resident’s relative acts as her advocate and attends all her reviews and is a regular visitor at the home. Both residents confirmed that they are involved in the planning of their own activities and care plans and are able to make choices regarding holidays, jobs, visiting friends and the activities they wish to take part in. Positive comments were received from the residents on the care and support provided by the staff. Since the last inspection the residents have been on a camping holiday with service users from another unit. Both expressed that they enjoyed the break very much. One resident has taken up a new part time job since the last and commented, “I have come on in leaps and bounds. The staff have been brilliant and have helped me to motivate Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 10 myself. I now go swimming and to aerobic classes”. Both residents are semiindependent and have their own budgets, bank accounts and are supported to control their own finances. A key worker system is now in place and the residents commented that they use this time to discuss their care plans and any concerns they wish to talk through. All sessions are recorded and take place weekly. One resident said, “The key worker sessions are wonderful. We work together and discuss my care, risks, hopes and dreams and it keeps me involved”. Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14. The residents are involved in their care planning, activity plans and future development. Both residents take part in the local community and a range of leisure activities. EVIDENCE: Both residents spoken to confirmed that they lead a semi-independent lifestyle. They are involved in choosing their activities, when to visit friends, holidays and employment. Records viewed and residents spoken to confirm both complete their own activity programmes daily, which demonstrate what they have done that day. Both residents said they are involved in planning daily routines, care plans and activity programmes via key worker sessions and residents meetings. An advocacy service is available to provide advice to the residents. Both residents have been on a camping holiday with residents from another unit, which they enjoyed. Friends and family to visit often and the residents are able to entertain them in the privacy of their own rooms. Both access the local community and use the local transport independently or with staff support. The residents shop and prepare their own meals and have part time jobs. Staff are available for support were required. Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 12 Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 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): 20. Residents are responsible for their own medication where appropriate and are protected by the home’s policies and procedures. EVIDENCE: Policies and procedures are in place for the safe handling of medication. The medication procedures are audited regularly within all the Craegmore Care Homes. One resident who is self-medicating requires a self-medication risk assessment to authorise this. This was discussed with the staff member on duty during the inspection who agreed to put it in place. Medication training for all staff is planned for 13th February 2006. . Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Residents’ views are listened to and acted upon. EVIDENCE: Policies and procedures are in place for dealing with complaints. 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 within the outcome. Both residents said that they feel the system works well, “We have no problems saying what we feel”. Both residents said they are aware of the complaints procedure and will use this to raise any complaint they have. Both are aware of the contact number for CSCI if they need to make contact. Residents meetings and key worker sessions allow the residents to air their views and discuss any concerns. Both residents confirmed that these are good as they “Allow me to get involved”. Both are planned and recorded to evidence this. Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 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 an individual lounge and bedroom. The residents share a bathroom and the dining/kitchen and small lounge is shared with the staff. 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 their accommodation. Each contains their own possessions and are personalised to their own tastes. Both have keys for access to the home and their rooms. Since the last inspection the front garden has been re surfaced and a new carpet ordered for the front, ground floor lounge. However a number of outstanding requirements from the last inspection include – repair garden wall, a set of new drawers in a resident’s bedroom. These are contained within the requirements of this report. Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 16 Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34,35. A recruitment policy and procedure is in place to protect the service users. Training must be regularly up dated to ensure staff are trained to meet the residents needs. EVIDENCE: Staff files are securely stored in a central office. These were viewed by the inspector and evidenced that the correct recruitment and selection procedures are in place, which includes a satisfactory Criminal Record Bureau Check (CRB) and two written references. Two staff have enrolled on National Vocational Qualifications (NVQ) and are working towards Levels 3 and 4. A staff training programme in place was viewed and includes the statutory training required. However, records showed that statutory training is not up to date for all staff employed. This must be up dated to ensure that all staff are suitably trained to meet the needs of the residents. This was brought to the attention of staff at the central office and training is planned to take place during the half term break. Medication training is planned for 13th February 2006. Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,41,42. The home is yet to appoint a registered manager who is experienced and has been approved by the CSCI. The residents are protected by the home’s policies and procedures in place. Records must be up to date to demonstrate that the resident’s health, safety and welfare are promoted. EVIDENCE: The home is yet to appoint a suitably qualified and experienced registered manager who has been approved by the Commission for Social Care Inspection (CSCI). This requirement is outstanding from the last inspection. CSCI and Craegmore Care are presently in consultation regarding this issue. 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 conducts regulation 26 visits to monitor progress and provide staff supervision. Residents spoken to confirmed that they have regular meetings and key worker sessions. Their individual comment and complaints books allow them to Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 19 express their views on the day-to-day running of the home. Both residents provided positive comments on the staff employed and the way the home is run. “The staff are absolutely brilliant”. “Always there to talk to”. Policies and procedures are in place and are available to staff. All accidents and injuries are recorded. Risk assessments are in place. Records viewed show that fire records are not up to date and recorded as required. This was discussed during the inspection and is contained in the requirements of this report. Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 20 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 X 3 3 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 X ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X 2 X X X 3 2 X Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 21 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 YA1 Regulation 4 Requirement The responsible person must produce an up to date statement of purpose, which includes up to date information on the management of the home. (Outstanding from the last inspection. Time scale not met). The responsible person must employ a registered manager approved by the CSCI. (Outstanding from last inspection. Time scale not met). The responsible person must complete the following repairs and improvements. Decorate small lounge; provide set of drawers in upstairs bedroom, repair rear garden wall, new carpet and curtains in front lounge. (Outstanding from the last inspection. Time scale not met). The responsible person must maintain up to date fire record checks. (Outstanding from last inspection. Time scale not met). The responsible person must DS0000005232.V280061.R01.S.doc Timescale for action 31/03/06 2. YA37 8 31/03/06 3. YA24 19 31/03/06 4. YA43 13 31/03/06 5. YA35 13 31/03/06 Page 22 Dinorwic Road, 49 Version 5.1 6. YA20 13 ensure that all staff receive the statutory training required to enable to meet the needs of the residents. This includes manual handling/first aid/food hygiene/fire safety/COSHH/health and safety. The responsible person must provide a self-medication risk assessment for the resident who self medicates. 28/02/06 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 YA35 Good Practice Recommendations Staff should be encouraged to obtain NVQ qualifications. Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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. Extracts may not be used or reproduced without the express permission of CSCI Dinorwic Road, 49 DS0000005232.V280061.R01.S.doc Version 5.1 Page 24 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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