Inspection on 13/12/05 for Hayling Road

This inspection was carried out on 13th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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.

Other inspections for this house

Hayling Road 24/07/06

Hayling Road 19/04/05

Hayling Road 10/10/04

Hayling Road 28/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Hayling Road 34 Hayling Road Sale Manchester M33 6JN Lead Inspector Michelle Moss Unannounced Inspection 6th December 2005 10:00 Hayling Road DS0000005611.V258395.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 Hayling Road DS0000005611.V258395.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. Hayling Road DS0000005611.V258395.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hayling Road Address 34 Hayling Road Sale Manchester M33 6JN 0161 973 4306 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) Stockdales of Sale, Altrincham & District Ltd Mrs Emma Morris Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Hayling Road DS0000005611.V258395.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. All six service users have a learning disability and may also have an associated physical disability. Within the overall maximum number (6) one named individual who is out of category by reason of age can be accommodated 19th April 2005 Date of last inspection Brief Description of the Service: Hayling Road is a care home providing long-term personal care and accommodation for 6 young adults with complex needs (physical & learning disabilities). It is managed by Stockdales of Sale, Altrincham and District Limited, which is a charitable organisation. The home is located in an established residential area in Sale, close to shops, bus and train routes and other amenities. The home was opened in 1997 and consists of a two-storey building. The communal areas are located on the ground floor and include a lounge, kitchen, dining area and conservatory. Two of the bedrooms are situated on the ground floor with the remaining four on the first floor. All the homes bedrooms are single. There are gardens to front and rear of the property, which are well maintained. Hayling Road DS0000005611.V258395.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the home’s second unannounced visit for the year and took place over one weekday in December. The visit lasted approximately 1.5 hours. Two residents were spoken with, as well as three members of staff and the registered manager. The visit took a specific focus on how the home promoted and protected residents in three areas - independence, choice and well-being. This included looking at a range of records including care plans, medication charts, health and safety, development plans and speaking with the staff and manager about practices of care within the home. The term of address preferred by the users of the service was confirmed as ‘residents. It was felt this best reflected the function and purpose of the service. The inspection only looked at a limited number of standards, so this report should be read together with the earlier report to get a full picture of how the home is meeting the needs of the residents living there. What the service does well: The home had been operating for a number of years offering a homely and spacious accommodation for 6 young adults that required high levels of support in aspects of daily living and personal care. The home placed a strong emphasis on community integration and meaningful life experience. Promoting choice was understood by staff and was seen through staff practices in supporting the residents. Finding out what residents liked to do was carried out particularly well and was well recorded in a ‘person centred’ approach. The staff gave lots of examples of how they promoted choice. For example, things the residents liked to eat and choosing what activities they liked to do. Other examples were how each resident’s bedroom was decorated, laid out and equipped to reflect they likes and interests. The home had a flexible social therapy service, which meant the residents were able to participate in a wide range of meaningful activities. This included the service talking with the residents about activities they would like to do over the Christmas holiday period. Hayling Road DS0000005611.V258395.R01.S.doc Version 5.0 Page 6 The staff team were all involved in the home’s keyworker system which gave staff team members additional responsibilities to certain residents to ensure their well-being. The home was nicely decorated which blended in well with the required specialised equipment. 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. Hayling Road DS0000005611.V258395.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 Hayling Road DS0000005611.V258395.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): NA EVIDENCE: This section of outcomes were not examined during this inspection in light that the home had not admitted any new residents for some time. Hayling Road DS0000005611.V258395.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, 7 & 9 Residents’ needs were assessed and changing needs recorded. From the range of information recorded by the home aspects of choice, independence and wellbeing were all well promoted. EVIDENCE: A random sample of care plans were examined. This included looking at one new care plan that was moving towards a more person centred approach. The plan was entitled ‘Essential Life Style Plan’. This document was at early stages. However, it did have information important for staff to know about the way the resident needs should be met by the home. The main care plan was also looked at. This had evidence about how the home promoted and protected resident’s well-being, choice and independence. This included having the appropriate risk assessments in place where necessary. This was further supported from talking with the staff and through talking with a resident. The main plan was supported by the day-to-day care plans of which two residents records were examined. The manager confirmed she monitored the care plans on a regular basis. Hayling Road DS0000005611.V258395.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, 13, 15,16 & 17 Residents rights, independence and choice were respected and openly encouraged. Furthermore, the well-being of residents was promoted through open access to a varied range of meaningful activities both within the home and the wider community. EVIDENCE: The residents were supported to be actively involved in their local community and took part in their chosen cultural and religious activities. Furthermore, residents were offered a varied menu, healthy diet and their eating and drinking needs assessed and met by a competent staff team. From talking with the staff on duty they were able to explain how they ensured residents were given choice over meals including feedback to the cook as necessary about things enjoyed by residents. At the time of the visit some of the residents were out being supported in various activities including school and social therapy. The staff members spoken with were able to explain how the social therapy was flexible and that activities were chosen after speaking with residents. On observing staff interacting with residents it was seen that the rapport between the staff and Hayling Road DS0000005611.V258395.R01.S.doc Version 5.0 Page 11 the residents was very positive. On the day of the inspection 4 staff were on duty including the manager. Two staff members were out supporting residents in activities whilst two members of staff remained at the house to support two residents that were spending their day at the home. Families of residents were kept informed about events organised by the home. Also residents were assisted to maintain contact with families and friends including staff assisting them to visit family members. Hayling Road DS0000005611.V258395.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, 19 & 20 The health and personal care needs of residents were overall well met by a skilled staff team with excellent links to health professionals. However, the good practice was slightly compromised in the care of medicines. EVIDENCE: The home supported residents with complex health needs. Their care plans were a vital source of information about how their needs were required to be met by the staff team. A member of staff said that they were given training in all areas where they were required to assist a resident to keep healthy and safe. The home was found to be well equipped with aids that ensured the health of residents could be safeguarded. These were fitted in a way that made them easy to access, although was done in a non-clinical way which did not impact of the homely surroundings. The approach of blending specialised equipment into the structural part of the building was seen to be done extremely well. The daily care plans examined gave a detailed record of the health needs of the residents including the joint care between the home and health professionals to ensure the resident’s health needs were appropriately met. Hayling Road DS0000005611.V258395.R01.S.doc Version 5.0 Page 13 The medication records of all residents were seen. In the majority of cases the records were maintained well with an accurate audit trail seen. However, there were a couple of entries where the staff signatures were missing. This was highlighted with the manager to investigate. Hayling Road DS0000005611.V258395.R01.S.doc Version 5.0 Page 14 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 The residents’ welfare was safeguarded by the home’s adult protection procedures. Furthermore, the views of residents were sought and an opportunity given to raise concerns or comments. EVIDENCE: Information received from the provider via a pre inspection questionnaire confirmed the home had not had any complains made by either the residents or others. The information provided by the home further confirmed that all staff members were receiving training in vulnerable adult protection and that recruitment of staff was done with all appropriate checks including completing POVA firsts and CRB checks. Hayling Road DS0000005611.V258395.R01.S.doc Version 5.0 Page 15 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, 26 29 & 30 All resident’s benefited from living in a homely, comfortable and safe environment. EVIDENCE: The home had recently been redecorated and fitted with overhead tracking in all parts of the home. This was done extremely well including blending the tracking system into the décor. From talking with a resident and a staff member it was also confirmed that a strong focus was placed on personalising bedrooms. This included the resident choosing how their bedroom was decorated which could be themed. For example, having memorabilia of a favourite football team. Information received via a questionnaire by the provider confirmed that health and safety checks and testing were completed regularly within the home. Furthermore the health and safety records examined were found to be well maintained. Hayling Road DS0000005611.V258395.R01.S.doc Version 5.0 Page 16 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, 34 & 35 A competent and well-trained staff team supported the residents. EVIDENCE: From the information received from the provider and feedback from staff about training, it was confirmed they received over 5 paid training days per year. This training was specific to the specialised aspects of the service. For example, Epilepsy Awareness, Moving & Handling, Care of Medicines, NVQ in Care and First Aid. Furthermore, the information received by the provider confirmed that the recruitment of staff was done in a way that safeguarded the residents’ welfare. The numbers of staff on duty were seen to meet the needs of residents well. Hayling Road DS0000005611.V258395.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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 & 42 The residents were benefiting from a well run home, with good monitoring systems in place for health and safety. EVIDENCE: Both the manager and assist manager were conversant with the needs of residents, all of which was demonstrated throughout the inspection. The relationship between the staff and the residents was seen to be respectful and the staff responded sensitively to the changing needs of residents. From a random sample of records examined it was confirmed that the home was keeping good records on fire safety and other health and safety checks. Hayling Road DS0000005611.V258395.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X 4 X X 4 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hayling Road Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000005611.V258395.R01.S.doc Version 5.0 Page 19 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 YA20 Regulation 13 Requirement The home must ensure all medication administered by staff is appropriately signed out on the medication chart. Timescale for action 31/01/06 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 YA6 Good Practice Recommendations The home should ensure a record is maintained that demonstrates regular reviewing of the short term care plans is completed. Hayling Road DS0000005611.V258395.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Hayling Road DS0000005611.V258395.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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