Inspection on 09/02/06 for Duke Street Bungalows

This inspection was carried out on 9th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Duke Street Bungalows 11/09/06

Duke Street Bungalows 24/10/05

Duke Street Bungalows 17/11/04

Duke Street Bungalows 27/08/04

Duke Street Bungalows 04/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Duke Street Bungalows 21/23/25 Duke Street Wednesfield Wolverhampton West Midlands WV11 1TH Lead Inspector Mr Ian Harris Unannounced Inspection 9th February 2006 08:00 Duke Street Bungalows DS0000036162.V282377.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 Duke Street Bungalows DS0000036162.V282377.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. Duke Street Bungalows DS0000036162.V282377.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Duke Street Bungalows Address 21/23/25 Duke Street Wednesfield Wolverhampton West Midlands WV11 1TH 01902-553356 01902-553356 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.wolverhampton.gov.uk Wolverhampton City Council Miss Margaret Mary Whelan Care Home 20 Category(ies) of Learning disability (20) registration, with number of places Duke Street Bungalows DS0000036162.V282377.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 21 Duke St - 6 people, 23 Duke St - 6 people, 25 Duke St - 8 people as described in the Statement of Purpose. 24th October 2005 Date of last inspection Brief Description of the Service: The three purpose-built bungalows in Duke Street came into operation in November 1996. The bungalows are situated close to Wednesfield Shopping Centre and other local facilities. The bungalows provide residential care for a total of twenty adults with learning disabilities who have various levels of dependency. Bungalows 21 and 23 accommodate six people in each bungalow. Bungalow 25 accommodates eight people. Bungalow 21 provides a service to people with a learning disability who are physically active. Bungalow 23 provides a service to people with a learning disability who have challenging behaviour. Bungalow 25 provides a service to people with a learning disability who also have physical and sensory disabilities or who are in other ways physically vulnerable. The bungalows are appropriately furnished and equipped to meet the needs of the service users. There is a garden and outside amenity space that includes a car parking facility. Bungalows 21 and 23 each consist of six single bedrooms, two bathrooms, two WCs, a small office, a kitchen, a dining room, and a lounge. Bungalow 25 consists of eight single bedrooms, two bathrooms, two WCs, an office, a staff sleeping-in- facility, a kitchen, a dining room and a lounge. Duke Street Bungalows DS0000036162.V282377.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 4 hours. The main purpose of the inspection was to check the progress made by the home regarding the recommendations and requirements made in the last inspection report. This care home has a history of meeting national minimum standards and providing a good service for people; consequently on this occasion mainly those standards identified as “key” by CSCI have been inspected. All of the National Minimum Standards inspected were met identifying that the overall quality of care provided is very good. The fullest co-operation was given to the inspection officer by the Care Manager staff and residents. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked. 8 of the 20 residents were spoken to. On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable and safe with contented residents. The resident that were spoken to have very limited communication skills but all appeared to be very happy. What the service does well: Duke Street continues to provide a high standard of care. The Care Manager and staff are to be commended on their efforts to encourage the residents to maintain their independence through social activities both within and outside the home. Information available for residents is good. Some information is also written in other languages such as Punjabi, Hindi and Urdu. Personal care needs are assessed and met, with each resident having their own care plan, which were found to be regularly reviewed. These are detailed and appropriately documented giving clear instructions to staff on resident’s individual care needs. The home has a very good staff- training programme, which all staff are involved in, this ensures that they are improving their knowledge and skills to meet the changing needs of the residents. Duke Street Bungalows DS0000036162.V282377.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. Duke Street Bungalows DS0000036162.V282377.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 Duke Street Bungalows DS0000036162.V282377.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): 1,2 and 5 All residents are given a written contract on admission to the home. The home provides clear and accurate information to prospective residents on the services provided, enabling them to make a properly informed choice about the home. EVIDENCE: The statement of terms and conditions used by the home meets the standard and there are signed copies in the resident’s files. All the residents who are funded by the Local Authority undergo a full multi-disciplinary assessment prior to admission. The residents’ who are self funding are assessed by the Care Manager, using the homes assessment forms. Copies of the assessment, Care Plan and Reviews are on the residents’ files. Each resident is provided with a detailed service users guide and statement of terms and conditions when they move into the home. This statement contains all the required information. The statement is clear on what the fees do and do not cover. Duke Street Bungalows DS0000036162.V282377.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 and 8 Most of the residents are unlikely to be able to contribute to the assessment process due to the nature of their disabilities. Despite that, appropriate residents care plans, decision making processes and risk assessments have been developed to identify residents’ wishes and needs and safe ways to meet them. EVIDENCE: The care plans were found to be comprehensive and contain regular monthly reviews / summaries and formal six monthly reviews. The home has a largely dependent resident group - who have mostly been residing at the home for some time. There is, however, a key working arrangement in practice in order to encourage residents on an individual basis to be involved in decision-making on a daily basis. There is also evidence that monthly residents’ meetings are taking place. Duke Street Bungalows DS0000036162.V282377.R01.S.doc Version 5.1 Page 10 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, and 17 The lifestyle of the residents living at this home is excellent and through a framework of activities, independence, personal and social skills they are encouraged to develop. EVIDENCE: The lifestyle of the residents living at this home is excellent and through a framework of activities both within and outside of the home, independence, personal and social skills they are encouraged to develop. In regards to the mealtimes and activities they are flexible and are organised to meet the individual needs of the residents. The home also has rules in relation to drugs, smoking and alcohol for both residents and staff. Each bungalow has a separate dining room where meals are prepared differently according to residents preferences. Clear records are maintained for all meals eaten by residents. Each residents file, contains information regarding their likes and dislikes pertaining to food. On examination of this it was established that a number of ethnic minority residents’ had expressed preferences for Asian foods. These preferences are being met on a regular basis. Duke Street Bungalows DS0000036162.V282377.R01.S.doc Version 5.1 Page 11 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): The personal and health needs of the residents are well met with evidence of regular review and of good multi disciplinary working taking place on a regular basis. EVIDENCE: The home provides a comprehensive Care Plan for each individual resident based on the initial assessment. The Care Plans are drawn up by the Care Staff in consultation with the resident and their family. There was evidence on the files to show the care Plans are being carried out and reviewed on a monthly basis. The home is well supported by local G. P. s. and all of the paramedical services. Wherever possible, the residents are encouraged to retain their own G. P s, Opticians, and Dentists. It was noted that if the resident has moved out of their area the Care Manager ensures that, these services are provided by local practitioners. The records indicate that resident’s medical needs are being met. Medication is administered by means of a monitored dosage system. The system appears to be working very well. The home receives good support from the local pharmacist who does a three monthly audit of the homes medication. Duke Street Bungalows DS0000036162.V282377.R01.S.doc Version 5.1 Page 12 All Senior Care Staff have been trained to use the system before they are allowed to administer medication. The home has very good policies and procedures, which have recently been updated and are used as an integral part of the staff induction programme. The home has not experienced a death of a resident however the Care Manager and Care Staff are conscious of the need to provide extra support to the residents in their final days at the home. All the Staff are very aware of the need to be particularly sensitive, caring and attentive to the residents needs prior to their death and a number of staff have received training in loss and bereavement. The care manager is also aware of the support the staff should provide to relatives and colleagues. Resident’s relatives are encouraged to be fully involved in the residents care at this particular time Duke Street Bungalows DS0000036162.V282377.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The home has a good complaints procedure with some evidence that residents’ views are listened to and acted upon. The home has good policies and procedures regarding protection from abuse, which includes a whistle blowing policy. EVIDENCE: The home has a comprehensive complaints procedure. The residents and relatives are made aware of the procedure through the statement of their terms and conditions of residence, the service users guide and a copy is placed on the notice board in the hall. The home has a complaints book in which all complaints are recorded. It was noted that the home has not received any formal complaints since the last inspection all minor complaints are dealt with appropriately and quickly. The home has good policies and procedures regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which, includes a WhistleBlowing policy. These issues are also covered in the N.V.Q. training, which all Care Staff are undergoing. Duke Street Bungalows DS0000036162.V282377.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The standard of the environment within the home and the garden is very high providing the residents with a very attractive, comfortable, homely and safe place to live. The home was found to be clean tidy and free of unpleasant odour. EVIDENCE: The home consists of three purpose built bungalows, which provide appropriate accommodation for people with learning disabilities. The home is maintained to a very high standard and provides a very comfortable homely and safe atmosphere. It was noted that 2 bedrooms have been re-carpeted since the last inspection. The home was found to be clean, tidy and free from odour. The home has good policies and procedures regarding infection control and all the staff have received training in food hygiene All staff spoken to appeared to be conscious of the dangers of cross infection. Duke Street Bungalows DS0000036162.V282377.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, and 35 The home is well staffed with adequate numbers and skill mix of staff. The staff have a very good understanding of the resident’s support needs. The home has good policies and procedures regarding the recruitment of staff, which, are being followed. There is a good training programme in place that ensures that the staff are competent to do their job. EVIDENCE: The inspection of staff rotas and discussions with residents indicated that the home is well staffed. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. The home operates an efficient procedure and the Local Authority has registered in order to complete the appropriate C.R.B. checks on staff. There was evidence within the home that all the checks are being carried out. All staff at the home are committed to developing their knowledge and skills through training and have regular opportunities to do so through external and internal training activities. The home has a programme of N.V.Q. training and has now exceeded the minimum standard and all care staff have now completed N.V.Q. level 2 and 3. Also the care staff have attended courses on Safe handling of medication, Risk assessment, Dementia care, and Moving and lifting, First Aid, Infection Control and Fire Prevention. Duke Street Bungalows DS0000036162.V282377.R01.S.doc Version 5.1 Page 16 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): 37,39,41 and 42 The home is well managed, where service users interests and welfare are well promoted. EVIDENCE: The routines and activities within the home are flexible and built around the needs of the residents. There was also evidence to show that staff consult with the residents regarding the choice of meals and activities within the home. There are regular resident meetings where residents are consulted about menus and entertainment etc. Also the Key-Worker system in operation is designed to ensure residents’ wishes are responded to. All the records and administrative procedures within the home that were, inspected were found to be well ordered and maintained. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and a number of staff have received training on these issues. Duke Street Bungalows DS0000036162.V282377.R01.S.doc Version 5.1 Page 17 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 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X LIFESTYLES Standard No Score 11 3 12 3 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 3 3 X 3 X 3 3 X Duke Street Bungalows DS0000036162.V282377.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA29 Good Practice Recommendations It is strongly recommended that the Registered Provider address’s the risk assessment identifying the need for emergency call systems. 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