Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 26/04/05 for Duxbury House

Also see our care home review for Duxbury House for more information

This inspection was carried out on 26th April 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This is a care home where people are looked after well. It has a competent staff team who understand the needs of the people living there. Those residents spoken to said they liked living in the home and staff spent a lot of time with them. One resident said " I love it here, I want to stay for good. I have my own room and it`s nice. Planning and review of care is thorough and helps the residents make the most of their lives. Meals are varied and flexible to meet resident`s individual preferences. The home has good quality checks and all residents and staff contribute to this process.

What has improved since the last inspection?

Staff training has continued and two staff now have a recognised qualification in care. The manager has almost completed a Registered Managers award. Staffing rotas have been looked at and levels increased to meet the needs of residents.

What the care home could do better:

A concern from this inspection was that staff are being employed without all the proper employment checks. Training for new staff to the service must be addressed.

CARE HOME ADULTS 18-65 Duxbury House 38 Sherbourne Road Blackpool FY1 2PW Lead Inspector Pauline Caulfield Unannounced 26 April 2005 11:00am 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. Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Duxbury House Address 38 Sherbourne Road Blackpool FY1 2PW 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) 01253 440242 Mr V Fitzgerald Miss Tiffany Webster CRH Care Home 6 Category(ies) of LD Learning Disability 6 registration, with number MD Mental Disorder 6 of places Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The registered person may accommodate up to a maximum of 6 people with a leaning disability, and when not utilising these places may accommodate up to 6 person with mental disorder. Date of last inspection 6 January 2005 Brief Description of the Service: Duxbury House provides care to six adults who have a learning disability and/or mental health problems. The property is a semi-detached house situated in the North Shore area of Blackpool, close to the sea front and local amenities. All service-users are provided with single accommodation, These are not en-suite. There is a communal lounge and dining area and a large paved area at the rear of the property. Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over four and a half hours during the morning and afternoon. There were five residents living in Duxbury House on the inspection. Four residents were in for most of the inspection; one came in shortly before the end of the inspection. The inspection involved case tracking three residents. Discussions with four residents took place as well as with the manager and one member of staff. A tour of the home took place with several residents showing the inspector their room. Care records and staff files were inspected. What the service does well: What has improved since the last inspection? What they could do better: A concern from this inspection was that staff are being employed without all the proper employment checks. Training for new staff to the service must be addressed. Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 Page 6 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. Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 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 standard(s) 2 and 5 New residents are assessed and their needs met effectively through the admission process. EVIDENCE: The admission procedure ensured that resident’s needs are properly addressed. Four files were looked at and all had detailed assessments. This information then helped create a plan of care. One resident said “It is wonderful here far better than where I was before.” Staff spoken to were aware of the plan of care. Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 8 and 9 There is a clear, detailed care planning system in place that involves residents and provides staff with the information they need to meet service users needs. EVIDENCE: Resident’s records seen clearly described their emotional, health, care and support needs. This includes ways of managing specific difficulties or behaviours and agreements on restrictions of rights. These are reviewed regularly and new goals agreed. All residents have care plans. Residents spoken to said that they have been involved in developing plans and have to these. agreed Most residents have signed their care plans. One chose not to sign. This was recorded. Discussion with the manager and staff showed that they had detailed knowledge about residents. There was good evidence that residents are consulted and supported to take risks. One resident said that they did not go out alone but was supported to go out with staff daily. Another resident chooses not to go out and is very clear in this choice. Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14, 15, and 17 Contact with family and friends is encouraged and residents are supported to choose from a variety of leisure and educational activities, enabling them to be part of the local community. There are a good variety of meals with unhurried and flexible mealtimes that meet resident’s needs. EVIDENCE: Residents said that they can go out when they want. Some residents need support others travel about unsupervised. One resident rarely goes out, by choice. Others go out daily to a variety of leisure activities of their choosing. Residents choose to go to day centres or college from one to four days each week, or to stay at home. One resident said they liked going to a gardening course and is starting to do gardening at home, another likes to watch musicals, another to listen to music. All residents said that they can choose what they do and the owner helps by discussing things and advising them. Family contacts are encouraged. The owner and the relative of one resident take turns with transport arrangements to take the resident to stay with the family. Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 Page 11 Mealtimes are flexible, unhurried and relaxed. There is a good choice of food. Residents chose a variety of sandwiches and crisp breads at lunchtime, during the inspection. They decide what they would like to eat as a group but records show that usually at least one person chooses an alternative meal each day. Residents said the meals are good. Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 Page 12 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) 19 and 20 The health needs of residents are quickly and sensitively met, improving their health and lifestyle. EVIDENCE: Records show that specific health issues are picked up on and acted upon quickly and sensitively. Staff discussed specific issues and how they were approached gently and residents supported to take appropriate action. One resident administers creams and ointments himself/herself. Reasons for other residents not administering their own medication are discussed, recorded and reviewed regularly. Records seen and practice observed showed that medicine management was safe. Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 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 standard(s) These standards were not checked at this inspection. They will be looked at in detail at the next inspection. EVIDENCE: Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 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 standard(s) 26, 28 and 30 The home provides residents with a homely and comfortable environment in which to live. EVIDENCE: The home is homely, clean and comfortable. The owner lives on the premises and shares the facilities. Some residents showed the inspector around the home and into their own bedrooms. These were well personalised and individually decorated according to each residents taste. One resident said that he had chosen the décor in his room and the pictures and ornaments. Another resident said how comfortable the home is. The kitchen is well equipped clean and tidy and there is a small separate laundry. There is a pleasant courtyard at the rear. One resident has started gardening in it. Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33,34 and 35 The relationships between staff and residents are good and create a caring ‘listening’ environment in which to live. Some aspects of recruitment and selection and induction need improvement in order to ensure the safety of service users EVIDENCE: Staff were observed interacting with residents in a caring and respectful manner. The residents said that all the staff were nice and kind. Staffing levels are satisfactory and there are sufficient staff on duty to meet the needs of residents. Staff training was good with two staff having completed the National Vocational qualification training. The level of this training is very positive. The staff file of one member of staff was checked. Protection of vulnerable adults (POVA) checks and Criminal record bureau (CRB) checks had been carried out, but only one reference was available and this stated there had some difficulties with a previous employer. This had been checked and discussed at interview. The manager said that another reference had been sought which had been good but this was not available in the home during the inspection. All details in staff files must be available in the home. Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 Page 16 The manager had carried out a detailed one to one induction when the member of staff had been appointed but he/she had not commenced Learning disabilities award training (LDAF) induction/training. Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 Page 17 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 and 39 The home is well managed and run effectively providing a safe and stable environment for the residents living there. EVIDENCE: The manager has almost completed the registered managers award. Discussions with the manager indicated a clear vision. Residents and staff said that the manager was open and approachable and that he listens to what they want to do. One resident said “ I like it here. He (the manager) helps me choose things to do” The manager does not hold formal meetings but residents and staff chat informally with the manager at any time. In addition he has arranged for a colleague to ‘inspect’ the home every couple of months to check standards and ask service users and staff their views of the home. Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 Page 18 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 x 3 x x 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x 3 x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 3 1 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Duxbury House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 3 3 x x x x F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 Page 19 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 34 Regulation 17 (2) Requirement The Registered Person must ensure that references are sought before new staff commence in post and kept in the home. Timescale for action 1/6/05 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 35 Good Practice Recommendations The Registered Person should ensure all new staff receive structured induction training that meets Sector Skills Council standards and Learning Disability Accredited Training (LDAF) The Registered Person should have NVQ4 in Management and Care (by 2005). 2. 37 Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Area Office, Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 Duxbury House F57 S9789 Duxbury House V210868 250405 Stage 4.doc Version 1.30 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!