Inspection on 15/02/06 for Florence House

This inspection was carried out on 15th February 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Florence House 24/04/07

Florence House 28/06/05

Florence House 24/11/04

Florence House 14/07/04

Florence House 19/03/04

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

CARE HOME ADULTS 18-65 Florence House Florence Street Blackburn Lancs BB1 5JP Lead Inspector Mr Graham Oldham Unannounced Inspection 15th February 2006 09:30 Florence House DS0000058811.V267435.R01.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 Florence House DS0000058811.V267435.R01.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. Florence House DS0000058811.V267435.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Florence House Address Florence Street Blackburn Lancs BB1 5JP 0125459969 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) Alliance In Care Limited Mr David Robert Craven Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Florence House DS0000058811.V267435.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service must at all times, employ a suitably qualified manager who is registered with the Commission for Social Care Inspection. 28th June 2005 Date of last inspection Brief Description of the Service: Florence house is a detached building with accommodation for residents on the first floor. The home is owned by Alliance in care and is family run By Mr and Mrs Gibb. Florence House has eight single bedrooms for residents with a learning disability. The communal facilities consist of a lounge, dining room, quiet room, arts room and activities room. There is a kitchen, laundry shower room and bathroom. Staff have sleep in facilities. The home has accessible gardens and a car park. Local facilities are within walking distance. The home is situated on the outskirts of Blackburn close to local bus routes. Florence House DS0000058811.V267435.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 15th February 2006. Much of the information gained was obtained from talking to the registered manager and a staff member. The views of resident’s were difficult to obtain due to their condition and were mainly a yes or no. In this instance one staff member was questioned in depth regarding the resident case tracked. One resident was case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building and grounds was conducted. What the service does well: It was pleasing to note the plans of care remained very detailed and contained a large amount of information. Staff were able to use the plans to provide care for this vulnerable resident group. One staff member gave a very good account of the care given to the resident case tracked. This matched with the care written in the plan and ensured consistency of care for each individual. Many areas of the home had undergone decoration or refurbishment and the standard continued to provide residents with a homely environment. The assessment of residents was undertaken by the home and other professionals to ensure the needs of residents could be met. Residents had access to outside agencies who provided work and therapy to help them live fulfilling lives. Florence House DS0000058811.V267435.R01.S.doc Version 5.0 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. Florence House DS0000058811.V267435.R01.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 Florence House DS0000058811.V267435.R01.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): YA2 The assessment of residents ensured their needs could be met at the home. EVIDENCE: One plan of care was examined during the case tracking process. There was an assessment from Social Services, the Outreach Team and the home had conducted their own assessment. Assessment documentation contained within the plans of care was thorough and informed residents that their needs and aspirations could be met. Florence House DS0000058811.V267435.R01.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 Residents had their needs assessed. Their assessed needs and personal goals were retained within the plans of care. EVIDENCE: One plan of care examined during the case tracking process contained very detailed information about the residents needs. Information contained was above the required standard. Residents or if appropriate family members were consulted on the plans of care and made decisions about their lives and care needs. The resident who was case tracked was unable to give an account of the care he needed. A staff member and the registered manager gave an excellent account of the care given, which matched that written in the plans of care. Plans of care contained information about care needs, hobbies and a social history. Input had been given from various professional sources. Residents assessed needs and personal goals were evident in the plans of care. Florence House DS0000058811.V267435.R01.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): 12 Residents were encouraged and able to take part in activities and educational courses. EVIDENCE: The registered manager said, “ Residents are currently undertaking training courses with an outside agency and learn different skills such as gardening, woodwork and pottery. Unless a risk assessment shows it is not safe we teach life skills such as cooking and shopping. Some residents are able to attend a basic computer course. Residents went on different holidays. Two went to Cumbria to an outdoor pursuit centre and we really enjoyed it. We already have holidays planned for next year. One resident is going to Spain and others to Pontins”. On the day of the inspection staff and residents were observed to participate in art activities. One resident had been shopping. Residents were able to enjoy a program of activities, hobbies and educational courses to help provide a stimulating atmosphere at the home. Florence House DS0000058811.V267435.R01.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): 19 Residents attended specialists to ensure their health care needs were being met. EVIDENCE: One plan of care examined during the case tracking process contained records of specialist visits. The registered manager said, “The resident has seen a speech therapist, dietician and psychiatrist. The learning disability outreach team assessed the resident and have followed up care issues”. Residents were able to access specialist help to keep up to date with the their care needs. Florence House DS0000058811.V267435.R01.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): No standards were inspected within this section. Both standards were met at the last inspection. EVIDENCE: Florence House DS0000058811.V267435.R01.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): 24,25,26 27,28 and 29 The home was warm, clean and comfortable. Furnishings and equipment was domestic in style and met residents needs and individual tastes. Toilets and bathrooms were of a type that met residents needs. Shared space was provided to give a variety of activities and uses for residents. EVIDENCE: A tour of the home was conducted during the inspection. All communal areas and some bedrooms were inspected. The home had several communal rooms including a games and arts/crafts room to provide activities. The results of the art and pottery were observed during the inspection. Several areas of the home had been decorated since the last inspection. The garden had been made more attractive for residents with the addition of figures and landscaping. Residents were observed to be able to access areas of the home independently and appeared to be satisfied with the home. Furnishings, fittings and décor were domestic in character. Rooms were clean, tidy and contained sufficient equipment to provide residents with a stimulating environment. Residents Florence House DS0000058811.V267435.R01.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 50 of staff had not attained NVQ2 or equivalent qualifications. EVIDENCE: Four staff were qualified in NVQ2 or above. Eight staff were undertaking NVQ training. 60 of staff will be qualified when the training has been completed. One member of staff questioned about the care of residents said, “I have completed my NVQ2 training and have also completed training for first aid, food hygiene, protection of adults, medication, breakaway techniques, health and safety and the learning disability awards framework induction and foundation training. Training was ongoing at the home to equip staff to care for this resident group. Florence House DS0000058811.V267435.R01.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): 37 and 39 There was a manager who was suitably experienced but needed to finalise NVQ training before meeting the Commission for Social Care Inspection requirements. Quality assurance systems had been developed to obtain the views of residents and their families. EVIDENCE: The registered manager said, “ I have completed my NVQ training and am awaiting my work to be verified. Since the last inspection I have taken a course for mentoring student nurses”. The registered manager was obtaining the relevant qualifications to meet the conditions of registration imposed upon the home. The registered manager produced documentary proof that the views of residents and their families had been obtained. There was a summary being produced of the survey. There were regular recorded resident and staff meetings. The views of stakeholders were being sought. When completed the quality assurance standards at the home will be good. Florence House DS0000058811.V267435.R01.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 X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 X LIFESTYLE Standard No Score 11 X 12 3 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 2 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Florence House Score X 3 X X Standard No 37 38 39 40 41 42 43 Score 2 X 2 X X X X DS0000058811.V267435.R01.S.doc Version 5.0 Page 17 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. 2. Standard YA32 YA37 Regulation 18(a) 9(2)(b) Requirement The registered manager must ensure staff attain the relevant NVQ qualifications. The registered person must ensure the registered manager achieve the relevant NVQ qualifications. Timescale for action 31/12/05 31/12/05 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 YA39 Good Practice Recommendations The registered manager must ensure quality assurance systems meet current standards. This includes obtaining the views of stakeholders. Carried forward from 31/3/05 Florence House DS0000058811.V267435.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Florence House DS0000058811.V267435.R01.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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