Inspection on 19/04/05 for Hayling Road

This inspection was carried out on 19th April 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hayling Road 24/07/06

Hayling Road 13/12/05

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 19 April 2005 11:30 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 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 Stationary 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 F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 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 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 and District Ltd Emma Morris Care Home 6 Category(ies) of Learning Disability, 6 registration, with number of places Hayling Road F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 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 Date of last inspection 10 October 2004 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 Stockdale’s 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 home’s bedrooms are single. There are gardens to front and rear of the property, which are well maintained. Hayling Road F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the home’s first annual unannounced visit for the year, which took place over 2 hours during mid morning on a weekday. 4 residents were met of which one was consulted over their experiences of life at the home. 4 staff were on duty of which 2 were spoken to in length about the care of residents, care planning and management systems operated within the home. The users of the service and the staff were consulted over the term of address preferred in writing this report regarding the users of the service. It was indicated that the preferred address was “residents”. What the service does well: What has improved since the last inspection? The home was implementing new care plans for medication. The home had addressed weaknesses in recording health & safety records. At the visit these records were found to be accurately maintained and gave a detailed audit trail. Hayling Road F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 Page 6 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 F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Hayling Road F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 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 standard(s) 2 All residents individual aspirations and needs are reflected accurately in assessments. EVIDENCE: All residents had in place a needs assessment, which was integrated into an active care plan. These were written in a manner which reflected the residents’ aspirations and preferences. The home had not had any new admissions for over 12 months. Procedures including consultation with residents were in place for any future possible admissions. The staffing levels were meeting the needs of residents. Hayling Road F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 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 standard(s) 6. 7. 9 Staff have a good understanding of the residents’ care needs which is reflected in the care plan. EVIDENCE: 3 care plans (50 ) were viewed. In all cases they had been updated in January 2005. They were written in a person centred manner, which informed about aspects of the way the resident wished to be cared for and preferred address. Strong emphasis was placed on prompting lifestyle and healthcare support. Supporting risk assessments / short-term goal care plans were supporting the main care assessment which provided detailed strategies of care to minimise risk and promote independence and quality of life. The only minor weakness in these records were that in most cases the last recorded date for their reviews was in summer 2004. Hayling Road F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 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 standard(s) 12, 13, 16 & 17 Links with the community are good. Staff encouraged and support residents to engage in meaningful activities, education and social inclusion. EVIDENCE: All care plans provided evidence of social inclusion and enriched activities. The organisation had a social therapist service which was flexible to meet the needs of the residents. At the time of the visit two residents supported by staff were on an outing including having their lunch out. Two other residents at the home were engaging in activities with staff. This included listening to music chosen by a resident and reading articles from magazines. A menu was in place, which was used as a guide of meals that were provided by main kitchen (located at the organisation’s main site). In addition the home had a good stock of food in the cupboards that residents could choose from rather than the main choice. However, what was not been maintained was an accurate record of the meals consumed that could be seen to confirm that residents were being given choice, variety and a nutritionally balanced diet. On a more positive note the home had started to introduce an evaluation Hayling Road F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 Page 11 sheet for meals, which was rating the residents satification. This was an excellent process for consulting with residents, demonstrating ongoing quality assurance. Hayling Road F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 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 standard(s) 18, 19 and 20 The health, medication and personal care needs of residents were well met with good multi disciplinary working taking place on a regular basis. EVIDENCE: Medication records of all residents were seen. These were accurate and provided a detailed audit trail. Stock levels were checked and found to be satisfactory. The care plans were detailed and had a strong emphasis on healthcare needs. All residents were receiving annual health checks by their GP and evidence was seen in the care plan of the home referring residents to consultants where concerns over health conditions arose. Staff were conversant with the health needs of residents and confirmed being supported by the organisation to attend training relating to health conditions which residents were affected by. Hayling Road F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 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 standard(s) 22 and 23 Staff had excellent awareness of adult protection, which protected residents from abuse. EVIDENCE: Staff were familiar with the organisation’s procedures for protection of vulnerable adults. The staff confirmed that no complaints had been made. Staff talked about the importance of residents’ feelings and awareness of changes in behaviour, which can be an indicator that a resident might be worried or unhappy. The importance of listening and acting on concerns was understood. Hayling Road F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 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 standard(s) 24 and 30 Residents live in a homely environment that had good quality furnishings and fittings, which are well maintained. EVIDENCE: The home was found to be clean and tidy with a range of equipment and furniture that was specialised to meet the needs of the residents. These were found to be well blended with standardised furniture that offered a domestic style environment. Hayling Road F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff morale was high and training well provided which resulted in an enthusiastic workforce that worked positively with residents to improve their whole quality of life. EVIDENCE: The staff spoke of a range of training events they had been given in the past 12 months. They confirmed that this had increased further in recent months with the organisation’s decision to employ a training manager. The staff confirmed their roles and responsibilities and spoke of training courses that they had attended that enabled them to be competent in supporting the residents. These included first aid, epilepsy, hydro care, medication, communication and infection control. Aspects of staff consultation were confirmed. The staff understood the lines of accountability and confirmed receiving regular supervision from their line manager. There was a strong focus from staff to provide meaningful involvement work with residents that provided holistic care with outcomes that improved quality Hayling Road F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 Page 16 of life. For example, the range of holidays, activities, communication and delivery of care. Hayling Road F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 & 42 Residents benefited from a well run home. EVIDENCE: The systems for monitoring quality assurance were confirmed. These included consultation with residents through focus group meetings and completing satisfaction ratings for aspects of service provision such as food. The health & safety recording log provided a detailed audit that demonstrated the home were monitoring all safety issues on a regular basis. Hayling Road F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 4 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 2 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hayling Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 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 17 Regulation 17 Schedule 4. Requirement A record must be maintained that confirms the meals consumed by residents, that can be viewed to determine chioce, varity and a health diet is being provided. Timescale for action 30/05/05 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 6 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 F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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 F55 F05 s5611 hayling road v222080 190405 stage 4.doc Version 1.30 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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