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Inspection on 03/03/06 for East Cheshire Housing Consortium

Also see our care home review for East Cheshire Housing Consortium for more information

This inspection was carried out on 3rd March 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.

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

There is a relaxed and friendly atmosphere at the home and residents seemed very settled and content. The home is well managed and has a stable and committed staff team. This ensures consistency in the way that people who live there are supported. Residents are supported to make decisions about all aspects of their daily lives and routines within the home subject to the homes risk assessment; this encourages greater independence and a sense of fulfilment. The staff members who were on duty knew the residents well and it was clear that they enjoyed a very good professional relationship with them.

What has improved since the last inspection?

A log of all complaints is now kept in both of the homes. Chester road has now got a controlled drugs record which was been maintained appropriately. The immediate requirement from the last inspection regarding the fire door at Chester Road has been addressed.

What the care home could do better:

The home needs to develop strategies to support the residents in challenging the housing association with outstanding maintenance/decoration.

CARE HOME ADULTS 18-65 East Cheshire Housing Consortium 20/22 Nixon Street Macclesfield Cheshire SK11 8DP Lead Inspector Ms Julie Porter Unannounced Inspection 10:00 3 March 2006 rd East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 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 East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 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. East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service East Cheshire Housing Consortium Address 20/22 Nixon Street Macclesfield Cheshire SK11 8DP 01625 619146 01625 619146 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) East Cheshire Housing Consortium Miss Deborah Royall Care Home 14 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (14), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (14) East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The total number of Service Users must not exceed 14 14 of the Services Users may be MD 14 of the Service Users may be MD(E) 8 Service Users to be accommodated at Nixon Street; 6 Service Users to be accommodated at Chester Road. 26th September 2005 Date of last inspection Brief Description of the Service: 20/22 Nixon Street: These are two separate four bed-roomed houses that are linked downstairs by the staff office. The houses are purpose built and accommodate service users of both sexes. There are four single bedrooms in each house and a bathroom on the first floor. The ground floor provides office accommodation, Two lounges, two lounge/dining rooms, WC, kitchen and laundry room. There is no passenger lift. 254 Chester Road: This is an older property that has been adapted to provide accommodation for six service users. Four bedrooms are provided on the first floor and two on the ground floor. Two lounges, a dining room, kitchen and laundry room are situated on the ground floor. One of the downstairs bedrooms has an en-suite shower room and WC. There is no passenger lift. Both houses have garden areas and limited parking. They are close to local amenities and are both on bus routes into the town of Macclesfield. East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day on the 3 March 2006 an involved a review of the records held at the Commission for Social Care, a tour of both registered premises, a review of records and discussions with eight residents living in the home. Thirteen residents were living in the home on the day of the inspection and one person was in hospital. What the service does well: What has improved since the last inspection? What they could do better: The home needs to develop strategies to support the residents in challenging the housing association with outstanding maintenance/decoration. East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 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. East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 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 East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 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): 2&5 All residents are assessed before they come to live at the home so that they and their families know that the home will be able to meet their needs. EVIDENCE: One residents’ file was reviewed during the inspection and provided full information about this persons’ life before moving to the home. The placing authority had completed an assessment of his needs and the home was continuing to develop the care plan as an on-going assessment of his needs. A license agreement between the housing association and the resident was in place and signed by the resident, detailing the terms and conditions of living in the home. This should be reviewed as elsewhere in the organisation to ensure that residents are provided with full information regarding their stay. East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 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): 6-9 Residents in the home are supported by a group of staff that know them well and staff work within the agreed care plans so that the residents’ independence continues to be promoted. EVIDENCE: One residents’ care plan was reviewed and provided information about their current lifestyle including a recent placement at college. The care plan showed the level of support needed in managing their own finances and good monitoring of their physical and mental health including changes to their medication. Questionnaires about the service in the home were given to residents on 26/02/06 and evidence was seen that the residents’ comments had been responded to. Risk assessments were seen as documents that enabled the resident achieve personal goals e.g. staying in the home alone and self-medicating. East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 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): Not assessed during this inspection as they were reviewed during the last inspection. EVIDENCE: East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 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): 20 Staff are trained in relation to medication administration and risk assessments are in place to ensure residents’ safety. EVIDENCE: The home has a policy regarding the administration and self-administration of medication and residents are encouraged to manage their own medication subject to the homes risk assessment. The medication record was reviewed during the inspection at Chester Road and recording was good, a controlled drug record book was introduced since 02 March 06 and was being maintained appropriately. Staff receive regular updates regarding the administration of medication from an external source. East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 Page 12 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 - 23 Residents know who to speak to so that their views will be listened to. There are policies procedures and training available to staff in respect of adult protection so that residents are protected from potential harm and poor practice. EVIDENCE: Following the last inspection all complaints including verbal complaints are now recorded, the complaints log was reviewed during the inspection at Nixon Street and 6 complaints have been recorded between 02 October 2005 and 26 February 2006, the log records the details of the complaint and the outcome. Quality questionnaires were issued to residents on 26 February 2006 and evidence was seen that these comments had been dealt with. One resident spoken with said that staff were “great” and that they could discuss with any member of staff any problems at any time. All staff at Chester Road attended training in relation to adult protection on 26 January 2006. East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 Page 13 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 & 30 Residents at Nixon Street and Chester Road live in a homely comfortable environment. EVIDENCE: During the inspection a tour of both premises was taken and were found to be clear and fresh throughout. It was noted that one of the kitchens at Nixon still needs painting around the units to made good previous maintenance work. See recommendation 1 The immediate requirement made at the last inspection regarding the fire door at Chester Road has now been addressed. East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 Page 14 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 & 35, 36 Staff in the home have worked there for a number of years and have developed a good knowledge of the residents’ needs. EVIDENCE: In discussion with staff at Chester Road and Nixon Street they confirmed that the training offered by East Cheshire Housing Consortium is thorough, recent training records seen showed that staff have completed training in relation to emergency aid; moving and handling and adult protection. Formal staff supervision is conducted by the Registered Manager who is based at Nixon Street; a house manager is in place at Chester Road who manages the home on a daily basis. Staff reported that they have regular supervision and staff meetings. Both the homes have low staff turnover and staff have developed a good knowledge of the residents’ individual needs. East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 Page 15 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): 42 The management of health and safety in the home is taken seriously and this offers protection to the residents and staff. EVIDENCE: During the inspection the following records were checked and found to be in order: incident/accident record, fire book including testing of the fire alarm and the emergency lighting, service contracts and gas safety certificate. The fire brigade attended the home on 25 February 2006 as the alarm had been activated; the fire officer has stated that he was “happy with procedures and evacuation.” A through fire risk assessment is in place including the use and storage of oxygen in the home. East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 Page 16 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 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 East Cheshire Housing Consortium Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000006550.V268812.R02.S.doc Version 5.0 Page 17 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 24 Good Practice Recommendations The organisation should agree more appropriate timescales for the housing association to complete outstanding decoration/maintenance. East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 East Cheshire Housing Consortium DS0000006550.V268812.R02.S.doc Version 5.0 Page 19 - 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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