Inspection on 10/07/08 for Gladstone Road, 31

This inspection was carried out on 10th July 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Gladstone Road, 31 12/06/09

Gladstone Road, 31 31/07/07

Gladstone Road, 31 15/05/06

Gladstone Road, 31 14/12/05

Gladstone Road, 31 01/07/05

Gladstone Road, 31 04/03/05

Gladstone Road, 31 23/09/04

Gladstone Road, 31 01/03/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 Gladstone Road, 31 31 Gladstone Road Bootle Liverpool Merseyside L21 1DG Lead Inspector Lorraine Farrar Key Unannounced Inspection 10, 15 & 16 July 2008 12:30 Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 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 Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 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. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gladstone Road, 31 Address 31 Gladstone Road Bootle Liverpool Merseyside L21 1DG 0151 476 1964 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) Expect Limited Manager post vacant Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 Up to a maximum of 3 service users in categories MD or LD may be accommodated. 31 July 2007 Date of last inspection Brief Description of the Service: 31 Gladstone Road is a four bedroom terraced house situated in a residential area of Bootle. It is registered to provide support and accommodation for up to three adults who either have a learning disability and or who need support with their mental health. It is run by Expect Ltd, a local organisation and registered charity, which provides support to people within the local area. The house provides 3 single bedrooms, two lounges, a small dining room and kitchen. In addition there is a sleep in room / office and enclosed back yard with seating. Parking is available on the street outside. Staff are available 24 hours a day to provide support. During the day there are one or two staff providing support and at night a member of staff sleeps in the house. It currently costs £507.50 each week to live at 31 Gladstone Road. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use the service experience adequate quality outcomes. We gathered information for this inspection in a number of different ways. We carried out an unannounced visit to the home on the 10 July 2008. We also visited the house on the 15 and 16 July 2008. We spent 7.15 hours at the home altogether. We spent time looking at the support the people living at 31 Gladstone Road receive. This included looking at the support they get with their daily lives, care plans, medication, money, activities and environment. We met two of the people living at 31 Gladstone House and with four members of staff including the acting manager. Any information the Commission for Social Care Inspection (CSCI) has received since the last big inspection of 31 Gladstone Road in July 2007 is also taken into account in writing this report. The manager completed a questionnaire we sent her before our visit to provide us with information about the home. We used this information to help us to plan this inspection and in writing this report. An easy to understand summary of this report is available. If you would like to see a copy please ask staff working at 31 Gladstone Road. What the service does well: The people living at 31 Gladstone Road told us that they get the support they need and want from the staff team. They also told us that they like the staff and feel comfortable raising any concerns they may have with them. There is a well established staff team working with the people living at 31 Gladstone Road. They have a good knowledge of the people living there and of their choices as well as their support and health care needs, so people living at the home receive support from staff who know them well. There are enough staff working at 31 Gladstone Road to support people to get out and about in their local community and to do the things they enjoy at home. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 6 The people living there get support to go to different places depending on their individual choices and needs. This is as diverse as meeting friends for lunch, shopping for food and going to local community classes. When at home people are able to spend their time engaged in different leisure pursuits, chatting with staff and each other or taking part in everyday household tasks. Staff support people to be as independent as possible both in terms of their own personal and health care and in running their household. Due to its location people are part of a local community and have good access to local transport links as well as community facilities so they can get out and about. The house provides people with a warm, comfortable environment to live in and they are consulted about how it is decorated and furnished. What has improved since the last inspection? What they could do better: The organisation needs to ensure when an assessment is carried out of a person’s needs and choices, care plans are put into place. A lack of detailed planning may lead to all of the person’s needs and choices, including any aids or adaptations they may need, not being fully identified and therefore met. The home should have a training plan in place that covers basic areas of care practice and also any more specialist training to ensure staff can meet the individual needs of the people living there. This would help to make sure staff are up to date in their basic knowledge and also have the more specialist information they need to support people well. The number of hours staff work and the time off they have between shifts needs to be monitored better. Where staff are working a lot of hours and not getting sufficient time off in between they may not be able to support the people living there and themselves as safely as possible. A development plan for the home should be in place and monitored and updated regularly. This would help to ensure that any areas for improvement can be quickly identified and plans made to meet them. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 8 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 Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2&4 People who use this service experience adequate outcomes in this area. We have made this judgment using available evidence including a visit to this service. Sufficient information is obtained about people before they move into the home but this is not always fully used to plan their care to make sure that all their care needs can be met at the home. EVIDENCE: There is a procedure in place at the home to make sure that before anyone moves in, their needs and choices are fully assessed and they are provided with information about the service. This includes offering the person the opportunity to visit the house and stay overnight. When followed, this procedure helps to make sure that the person’s needs and choices can be met at the home and that it’s the right place for them to live. Records showed that the staff from the home carry out an assessment of the person’s needs and choice and obtain information from other people who support them. This is good practice as it helps to ensure as much information as possible is gathered about the person and the things they enjoy as well as the support they need. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 10 Records showed that although an assessment had been carried out before one person moved into the home, no basic care plan had been put together. This lack of basic care planning before people move into the home may result in their needs or choices not being able to be fully met. For example, information on the assessment indicated that the person might like to use a bath. However, as 31 Gladstone Road does not provide a bath downstairs, a basic care plan would have highlighted this issue and steps should then have been taken to seek the person’s views to resolve this problem. The organisation had identified that training was needed for some staff to enable them to provide support for this person. However no dates for this training had been arranged. Basic written planning would have helped to ensure that this was put into place as soon as possible. Records and discussions with staff confirmed that before anyone moves into the home, they are able to visit on several occasions. This process helps the person, their family and the organisation to decide if 31 Gladstone Road is a suitable place for the person to live. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 People who use this service experience adequate outcomes in this area. We have made this judgment using available evidence including a visit to this service. People’s identified needs and choices are met within the service. However, a lack of care planning may lead to a person’s support needs not being quickly identified and met, which could impact upon their health or welfare. EVIDENCE: During our first visit to the home, we saw up to date care plans in place for two of the people living at 31 Gladstone Road. These provided information about the things the person does and does not like, their social life and how they communicate. Information was also recorded about the things the person is able to do independently as well as the things they need staff support with. One of the people living there told us that she knew about her care plan because staff discuss it with her. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 12 Individual risk assessments also form part of the person’s plan. These identity areas of risk to the person and give guidelines to remove or minimise that risk. This helps to make sure that people are safe and their lives are not unduly restricted. The fact that these care plans are updated regularly and discussed with the people living there helps to ensure that their support needs and also their everyday choices are identified and can be met. However no care plan was in place for the third person living at 31 Gladstone Road. Although currently supported by staff who know the person well, the lack of a detailed care plan could lead to the person not receiving all of the care and support they need both with their health and personal care and with their everyday choices. We gave an immediate requirement to the organisation that a care plan must be provided within 48 hours. However when we returned to check this five days later no plan had been provided and we were advised that it was at the organisation’s head office. We carried out a further visit to the home a day later and a care plan had been put into place that covered the person’s health and social care needs as well as providing good information on how to communicate well with her. The people living at the home told us they are able to choose the things they want to do and the places they want to go. It was evident during our visits that people are supported to make their own choices and to be as independent as possible. People were seen to spend their time doing things they enjoyed as well as making full use of shared areas of the home. Risk assessments are in place for supporting people to manage their money and a sample of records and money held in the home was checked and found to be correct. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. The people living at 31 Gladstone Road are provided with support to live a lifestyle of their choice so they can be as independent as possible. EVIDENCE: Records showed that the people living at 31 Gladstone Road are provided with support to become involved in the daily running of their home and to spend their time engaged in leisure pursuits of their choice. One person told us she had been to a class at a local community centre. She then went on the train to Southport for lunch and shopping with a member of staff. Another person attends a local day service and told us that at evenings and weekends she goes out and about with staff and also spends time at home watching her favourite TV programmes and videos. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 14 Support is provided so people who live at the home can take part in their chosen leisure activities both at home and in the local community. Records showed that people get some one to one support from staff. They are encouraged and supported to be involved in everyday household tasks such as washing dishes and cleaning, as well as going out to places such as the local marina, the cinema and meeting friends for lunch. One person told us “I have been on holiday” - support is provided from staff for this. Whilst we were at the home, we saw people taking part in a number of different activities. The amount of space in the home means that people can choose whether to sit together or spend time watching their favourite TV or listening to their choice of music. Staff were seen to spend time at the home socialising with the people living there as well as supporting and meeting their everyday needs. Relatives of one of the people living at the home told us that they are welcome to visit at any time and always made welcome. Records confirmed this and showed that staff provide support to people to keep in touch with their family and friends. Records showed that people are offered a variety of meals including sufficient fruit and vegetables. They also showed that where people need support with their nutrition, this is provided. Shopping for food is done at local shops and supermarkets and one of the people living there confirmed, “I go shopping with staff”. This helps to ensure people are as involved as possible in the running of their home and in making everyday choices for themselves. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use this service experience adequate outcomes in this area. We have made this judgment using available evidence including a visit to this service. The people living at 31 Gladstone Road receive support to meet their health and personal care needs and choices. However a lack of written planning and guidance for staff may mean that people do not always get the support they need in the way they prefer. EVIDENCE: Relatives of one of the people living at 31 Gladstone Road told us that they think the care she receives is “great”. Two of the people living there told us that they get help from staff when they want it and that the routines are flexible. For example they can decide when they want to get up or go to bed. Staff we spoke with had a good understanding of the everyday health and personal care needs and choices of the people living at 31 Gladstone Road and were able to explain how they meet these. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 16 It was evident that people living at the home received support with their personal care and appearance. This was confirmed in people’s daily records, which showed that support is provided and people are encouraged to be as independent as possible. Records confirmed that people receive support to use a variety of health services, as needed. This includes routine health care checks such as the optician and dentist as well as more specialist appointments such as psychiatrist and consultant appointments. Staff record any issues with the person’s health and follow these up by seeking health advice if required. As already identified, care plans were not in place for everyone living at 31 Gladstone Road. Although records were in place for some aspects of health care, the lack of a detailed care plan may lead to issues with the person’s health and welfare not being noted as quickly as they could be and therefore not being acted upon. Medication in the home is stored correctly and records completed accurately. A stock check system helps to ensure that medication is being given as prescribed and lessens the risk of mistakes occurring. Good practice was noted in that one person has been supported to manage some of her medication herself. This helps to provide people with as much independence and control over their lives as possible. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. There are processes in the home so that the people living at 31 Gladstone Road feel safe living there and have confidence that any concerns they have will be listened to and acted upon. EVIDENCE: One of the people living at 31 Gladstone Road told us that she is happy living there. She explained that if she were unhappy she would talk to the staff and she was confident they would do something about her concerns. No complaints or concerns have been raised about 31 Gladstone Road since our last big inspection. A policy is in place from the organisation for dealing with any complaints or concerns that are raised. A copy of the local authority procedure for dealing with any adult protection concerns is also available. Staff working at the home receive training in recognising and reporting any adult protection issues that may arise. This helps to ensure that staff have the skills and information to support people safely and deal with any issues that arise. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 29 & 30 People who use this service experience adequate outcomes in this area. We have made this judgment using available evidence including a visit to this service. 31 Gladstone Road provides a clean, homely place for people to live. However it does not always provide suitable equipment to support people well with their mobility and personal care needs. EVIDENCE: The home is a terraced house in Bootle provides good access to local facilities and transport. There is enough space within the house for the people living there, visitors and staff to be comfortable. Shared rooms include a large downstairs lounge, small dining room, kitchen, enclosed backyard with seating and a small upstairs lounge. Everyone living there has their own bedroom, which they can personalise. One of the bedrooms is on the ground floor. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 19 One of the people living at the home told us that she had had her bedroom decorated recently and that she had chosen the décor. She explained she was able to “do it how I wanted”. During our visits as part of this inspection we observed that all areas of the house were clean, homely and welcoming. The house has an upstairs bathroom, which has a bath with bath chair and an accessible shower. A separate toilet and basin are also available upstairs. Downstairs there is a small toilet and sink. There are no bathing or showering facilities on the ground floor. A ramp to the front door provides easy access to the house for people who have difficulties with their mobility. In addition grab rails and a stair lift are available to support people. One person had bed rails fitted to her bed. We noted that there was a gap between the bed and mattress, which could cause someone to become trapped. The organisation responded to this by putting a risk assessment into place for the following few days and ordering a new bed and rails. This ensured that the person was safe until her new bed arrived. No occupational therapist assessment had been obtained for one of the people living there who needs equipment to support her with personal care and mobility. Nor was an assessment of the suitability of washing facilities in place. On our second inspection visit the acting manager told us she had contacted the person’s social worker to arrange for an occupational therapist to carry out an assessment. Once completed this will help to ensure that the right equipment is in place and that the environment is suitable for the person. Suitable equipment and facilities are provided to enable staff to prevent or quickly deal with any outbreak of infection. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 People who use this service experience adequate outcomes in this area. We have made this judgment using available evidence including a visit to this service. There is an experienced staff team working at 31 Gladstone Road so people living there are supported by staff who know them well. However, they have not received up to date training so may not have the up to date skills to make sure people are cared for safely. EVIDENCE: One of the people living at 31 Gladstone Road told us, “I like all the carers, they are kind, funny”. Another told us that the staff are nice to her and help her when she needs it. The majority of staff have worked at the house for some time and during our visits we saw that they have a very good knowledge of the people living in the home, their support needs and their choices. Staff were seen to be friendly and respectful to people and to spend time chatting with them as well as meeting basic support needs. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 21 There are sufficient staff working in the house to meet the needs of the people living there, in terms of supporting them with their personal care and household needs and in supporting them to get out and about. However records showed that one member of staff had worked 81 hours over a 6-day period and sometimes only had 6 hours off following a night shift before returning to work. The number of hours worked and time off for rest and sleep may mean that staff are getting insufficient rest to be able to support people safely and well. Most of the staff working at 31 Gladstone Road have obtained a care qualification (NVQ). This helps to ensure that they are aware of good practice in care. Records and discussions with staff showed that they receive some training in relevant areas such as medication and protection of vulnerable adults. However other training such as moving and handling people and food hygiene was out of date. It had been identified by the acting manager that this training was required but no dates had been set. Nor had training been provide for all staff in meeting people’s specific health care needs. This lack of up to date basic training and more specialist training may mean that staff do not have the skills to support people safely and well. Since our visits to the home, we have been advised that this training had been arranged and had taken place. Records showed that before anyone is appointed to work at 31 Gladstone Road a series of checks are carried out. These include obtaining written references and checking with the Criminal Records Bureau (CRB) and register of people unsuited to work with vulnerable adults. These checks help to ensure the people living at the home are safe and that staff are suitable to work with them. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40 & 42 People who use this service experience adequate outcomes in this area. We have made this judgment using available evidence including a visit to this service. The home is managed for the benefit of the people living there. However better forward planning would help to ensure a consistent, high quality service is provided. EVIDENCE: During our visits, we found that the home manager had been absent from the home for some time. An acting manager had been appointed and was being supported by a more experienced manager from within the organisation that runs the home. When a manager is appointed to work within a care service they need to register with the commission. This process includes a series of checks on the person, as well as an interview. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 23 31 Gladstone Road has not had a registered manager in post for some time. The registration of a manager helps to ensure that they are suitable to manage a care service for people who may be vulnerable. A member of staff working at the home told us they find the acting manager, “very approachable”, and it was evident that the people living there felt comfortable with her. Some areas for improvement within the home, such as staff training and equipment, were identified during our first site visit. When our next visits for this inspection took place, we found that the acting manager had started to take action to address these. There are some systems in place within the home for reviewing the quality of the service provided. This includes regularly reviewing the care plans, auditing medication and a monthly visit from a senior manager of the organisation that runs the home. This visit includes the senior manager looking at a sample of records and meeting with the people living there. It provides an opportunity for any issues to be noted and plans put into place to resolve them. However there is no annual plan for development of the home. An annual development plan would help staff working with the people living there to plan future improvements as well as ensure basic training etc is implemented. There are copies of polices and procedures in the home to guide staff in how to support people safely and well. A number of these have been made available in an easy to understand format. This helps to support the people living there to understand as much as possible about how the home works and about their rights. Records and certificates showed that regular checks are carried out on the building and equipment. This includes checking electrical appliances, the gas supply and regular checks of the fire protection systems. These checks help to ensure that the home is a safe place to live and work in. Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 24 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 X 2 2 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 2 28 X 29 2 30 X STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 2 X 2 3 X 3 X Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 25 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. 1 Standard YA29 Regulation 23(2)(n) Requirement An assessment of the environment including aids and adaptations must be carried out to ensure it is suitable to meet the needs of everyone living there. This will help to ensure that the environment at 31 Gladstone Road can meet people’s needs and choices. An application to register a manager for the service must be made to the Commission for Social Care Inspection. This will help to ensure that the home has a suitable manager in place. Timescale for action 15/09/08 2 YA37 8 30/11/08 Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 26 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 YA33 Good Practice Recommendations A written risk assessment should be carried out on the number of hours staff work and the time they have off duty between shifts. This will help to ensure that staff receive sufficient rest to be able to support people safely and well. A staff training plan should be compiled for the home. This should include basic care training as well as areas specific to supporting individual people living in the home. This will help to ensure staff are regularly updated on how to support people safely and are skilled in how to meet people’s specific needs and choices. An annual development plan should be compiled for the home. This should include obtaining the views of the people living there as to any improvements they would like to see implemented. This will help to ensure that the home continually improves the service that it provides and that any areas for improvement are identified and resolved. 2 YA35 3 YA39 Gladstone Road, 31 DS0000005247.V363862.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North West Regional Contact Team Unit 1, Level 3 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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