This inspection was carried out on 18th November 2005.
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 no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
CARE HOME ADULTS 18-65
Ford Road 98a Ford Road Dagenham Essex RM10 9JP Lead Inspector
Ms Rhona Crosse Unannounced Inspection 18 November 2005 14:30 Ford Road DS0000027899.V264929.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 Ford Road DS0000027899.V264929.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. Ford Road DS0000027899.V264929.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Ford Road Address 98a Ford Road Dagenham Essex RM10 9JP 0208 596 9377 0208 596 9377 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) Outlook Care Mr Darren Osbourne Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Ford Road DS0000027899.V264929.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 5th July 2005 Brief Description of the Service: Ford Road is a purpose build home for 7 people with learning disabilities. The home is situated in a residential are of Dagenham close to local shops and transport links. Accommodation is in single rooms. The home is not designed for people with a physical disability as there is no passenger lift to the first floor. Ford Road DS0000027899.V264929.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced therefore the home did not know the inspector was coming. The inspector arrived at 14.30 and left at 16.50. This was the second statutory visit made to the home this year so only the remaining outstanding core standards were inspected at this visit. The home was appropriately staffed at the time of the unannounced inspection and the manager was at the home. The home was clean and tidy and there was a relaxed atmosphere within the home. The home is well run, this is reflected in there being only one requirement made at this inspection. What the service does well:
The home offers a safe and comfortable environment to service users. The manager continues to update his training to meet the needs of the service users accommodated. He is currently undertaking the Registered manager’s award training. Service users spoken with were happy with the service the home provides. An improvement had been made in the daily living skills of one service user. This service user’s confidence and abilities have improved immensely since coming to live at the home. Since the introduction of ‘Positive Response’ training to behavioural problems there has been a great reduction in incidents of challenging behaviour. This is seen as a benefit to both service users and staff working at the home. There was a very relaxed atmosphere in the home when the inspector arrived. Two service users were relaxing in the lounge and another service user was in the dining room looking at magazines and enjoying his own company. One service user had been seen by the community nurse and was relaxing in his room. A further service user had gone on a home visit for the weekend. The two other service users were out at day centres. Staff are appropriately supervised and have over and above the minimum formal supervision sessions required. This is seen as good practice and from observation of the working practices in the home this kind of support for staff greatly improves the operation of the home. Since the last inspection the information from the quality questionnaire has been gathered together and the findings now form part of the new Service
Ford Road DS0000027899.V264929.R01.S.doc Version 5.0 Page 6 Users Guide. This information will give any prospective service users an overview of what it is like to live in the home. 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. Ford Road DS0000027899.V264929.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 Ford Road DS0000027899.V264929.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): These standards are well managed giving prospective service user the information they need to know what the home provides. EVIDENCE: Since the last inspection the Statement of Purpose and the Service Users guide have been updated with new information. This shows that the home is continually striving to ensure that service user have the best information possible to make an informed choice prior to coming into the home. Ford Road DS0000027899.V264929.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): All of the standards in this section were met at the last inspection therefore they were not inspected at this inspection. EVIDENCE: Ford Road DS0000027899.V264929.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): 15 and 17 Standards 16 and 17 are well managed. Ensuring the ongoing protection of service users, taking their choices into consideration. EVIDENCE: There are policies and procedures and guide lines for staff to be aware of and use should there be a time when a service users wishes to have a sexual relationship with a chosen person. Staff have received training in dealing sexuality. It was stated by the manager that this has not been an issue that has happened but staff were aware that in the future this may occur. Good links have been formed with other agencies outside the home where service users visit. Advocacy services can also be provided by external sources. The home is very open and accepting of information or any concerns passed to them. Relatives meetings and ‘house’ meetings with service users also take place where all manner of areas are open for discussion. This in turn protects the service users. The home is well supported by relatives and people in the local community and there are no set times for anyone visiting the home. On the day of the
Ford Road DS0000027899.V264929.R01.S.doc Version 5.0 Page 11 unannounced inspection no relatives or friends were visiting the home. One service user had gone to stay with relatives for the weekend. Meals are being provided in line with choice and care is taken to provide healthy eating. Menus are written but there are often personal choices made that changes this from time to time. These changes are also recorded. Special diets can be catered for, this could be for medical, cultural or religious reasons. Any specific dietary needs would form part of the pre admissions assessment process prior to the service user coming to live at the home. Ford Road DS0000027899.V264929.R01.S.doc Version 5.0 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 the following standard(s): 18 and 19 The home must record the choice of gender care that service users want when personal care is being provided. This should be recorded in the care plan to ensure the privacy and dignity of service users. Health care needs are now being recorded appropriately. This standard is now met and aids a clear audit trail to better inform staff how health care needs are being managed. EVIDENCE: It was stated that the majority of service users would state if they were unhappy with opposite gender care, but not all service users are able to verbalise this. In discussion with the manager it was stated that all the female service users are able to wash and bathe themselves with minimal supervision. However there may come a time when personal care has to be provided. Service users privacy and dignity must be taken into consideration and this must be recorded in the care plan. Health care needs are now being appropriately documented. This will aid staff to see a clear picture of how health issues are being addressed by the home, enhancing the wellbeing of service users.
Ford Road DS0000027899.V264929.R01.S.doc Version 5.0 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): The home deals with all finances held by them on behalf of service users appropriately. There are systems in place to constantly check that money held is appropriately recorded and spent. This standard is met and helps protect vulnerable adults from financial abuse. EVIDENCE: The home has policies and procedures for the safekeeping and expenditure on behalf of service users. Service users money held in safekeeping is monitored by the finance department of Outlook Care and also monitored when the Regulation 26 visits reports are undertaken once a month to the home. At the change of each shift the ‘handover’ process also checks the money held in the home is correct at the time of the change of shift. Bank statements are provided to all service users and if the service users consent the relatives are also able to see the statement of finances held. Support is given where necessary for service users to make appropriate purchases and receipts are kept of all expenditures and money handed to service users for them to spend themselves. Ford Road DS0000027899.V264929.R01.S.doc Version 5.0 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): All of the above standards were inspected at the last inspection and therefore were not inspected at this inspection. EVIDENCE: Ford Road DS0000027899.V264929.R01.S.doc Version 5.0 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): These standards were inspected at the last inspection and were considered to be met therefore they were not inspected at this inspection. EVIDENCE: Ford Road DS0000027899.V264929.R01.S.doc Version 5.0 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): These standards were inspected at the last inspection and were considered to be met therefore they were not inspected at this inspection. EVIDENCE: Since the last inspection the overview of the findings of the quality questionnaire have now been gathered together and have been published as part of the service users guide. This will inform any new service users or relatives what service users views are about living in the home. Ford Road DS0000027899.V264929.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Ford Road Score 2 X X x Standard No 37 38 39 40 41 42 43 Score X X X X X X x DS0000027899.V264929.R01.S.doc Version 5.0 Page 18 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. 1 Standard YA18 Regulation 12(2)(3) & (4)(a) Requirement The choices of gender care in relation to staff carrying out personal care must be recorded in the plan of care. Timescale for action 30/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ford Road DS0000027899.V264929.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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