Inspection on 27/01/06 for Henshaws Society for Blind People

This inspection was carried out on 27th January 2006.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Henshaws Society for Blind People 29/06/06

Henshaws Society for Blind People 14/06/05

Henshaws Society for Blind People 06/10/04

Similar services:

SignHealth

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

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

CARE HOME ADULTS 18-65 Henshaws Society for Blind People 45 Yew Tree Lane Northern Moor Manchester M23 ODU Lead Inspector Michelle Moss Unannounced Inspection 27th January 2006 5:35pm Henshaws Society for Blind People DS0000061522.V263826.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 Henshaws Society for Blind People DS0000061522.V263826.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. Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Henshaws Society for Blind People Address 45 Yew Tree Lane Northern Moor Manchester M23 ODU 0161 945 3665 0161 945 4114 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) Henshaws Society for Blind People Ms Averill Williams Care Home 6 Category(ies) of Learning disability (0), Physical disability (0), registration, with number Sensory impairment (0) of places Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 14th June 2005 Date of last inspection Brief Description of the Service: Yew Tree Lane is a care home that is owned by Henshaws Society for Blind People. The home provides long-term residential accommodation for up to six (6) service users within the category of Younger Adults (YA). All the young adults must have a visual impairment and may have a learning or physical disability. The premises is a large detached house that has been extensively refurbished to form a care home. It is set in pleasant grounds, which the students have access to. The home is situated in a residential area of Northenden, within easy reach of all the amenities of Sale. The home has access to the local transport network and is near to the main motorway links in the area. Henshaws Society for Blind People DS0000061522.V263826.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 and took place over one weekday in January 2006. The visit lasted approximately 2 hours. Three students were met and the manager and one member of staff were spoken with about practices of care within the home. In addition, a range of records including care plans, medication charts and fire records were examined. The term of address preferred by the users of the service was confirmed as “Student”. It was felt that 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 Students living there. What the service does well: What has improved since the last inspection? The fire safety systems had improved. Medication records had improved. Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 6 Work was being completed on developing terms and conditions between the home and students, and drafting polices on circumstances where restraint may be used and intimate relationships. 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. Henshaws Society for Blind People DS0000061522.V263826.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 Henshaws Society for Blind People DS0000061522.V263826.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): 1, 2, 3 and 5 The students’ changing needs were assessed and recorded. EVIDENCE: The home monitored the care of the students, including updating their care assessments when changes in their needs were identified. The manager confirmed that a contract between the home and the students was being developed at the time of the inspection. The organisation have subsequently indicated that a licence agreement exists between the society and students. The service user guide was available in different formats to assist the students to be informed about the home. This included brail or audiotape versions. A copy of the statement of purpose was available upon request. The manager was well conversant with the importance of carrying out needs assessments prior to any admission. This extended to assessing both the care and health needs of prospective students to determine that the home and staffing could meet the prospective student’s needs. This included considering and judging the compatibility of current students and any prospective student. Henshaws Society for Blind People DS0000061522.V263826.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, 8 and 9 Students’ needs were assessed and recorded in a care plan that was individual to the specific student. EVIDENCE: The care planning records of all three students were examined. The plans all included risk assessments that were regularly reviewed and updated to reflect changes in needs. The care planning system used was person centred and was based on an Essential Life Style Plan. This gave a lot of information to carers about the things that were important to the student and things they needed to know to care for them. This included the way the staff should respect their cultural and religious needs and meet their health and social care needs. It was highlighted by speaking with the manager and spending time socialising with the students that they were being consulted over all aspects of their lives and were making informed decisions. It was noted that different versions of the care plans could be published to assist students to become more involved in their care. However, for the students residing at the home at the time of the inspection, the approach used by staff to consult with them through more Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 10 day-to-day contact was seen to be the most informative and beneficial. This approach was seen to enable the students to contribute to their plan of care on a daily basis, rather than having access to different versions of their main care plan, which in its entirety was considered to be potentially overwhelming to the students rather than beneficial. Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 11 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): 11, 12,15 and 17 All students were supported well by the home to maintain positive family links. Good practices and records for confirming that students were receiving a healthy and varied diet were confirmed. EVIDENCE: The students’ rights were seen to be respected and they were encouraged to develop their independence. The students all attended a varied range of college courses and one student confirmed their enjoyment. The manager demonstrated a good awareness as to the different methods of communication used by the different students and her approach was sensitive and respectful. Evidence was seen through staffs’ practices, meals served and supporting written evidence that the cultural needs of students were acknowledged and supported by the staff team. Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 12 One student was able to indicate that the evening meal had respected their cultural beliefs and this student confirmed that they had enjoyed their meal. Two other students spoken with also confirmed that their evening meal had been nice and was enjoyed. Family links were seen to be encouraged and supported by the home. Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 20 Arrangements for maintaining the good health of residents was in place. However, staff receiving awareness training as to the specific health needs of students could further enhance this. EVIDENCE: The health needs of students were included in the care plan and were further supported by risk assessments where necessary. It was noted from speaking with the manager and reviewing the care plan that some of the students’ health needs had changed. It was highlighted that awareness training in the care of Epilepsy would assist the staff team in being able to support one student’s changing needs. This would include having the skills to be able to record key information that would assist health professionals in providing the correct treatment and care to maintain the student’s overall good health. Links with the community health team were well established. The manager was seen to be appropriately liasing with the health services regarding health issues. This included meeting physical health needs by ensuring that the appropriate aids and equipment were provided to ensure that the comfort and safety of students could be maintained. The medication records of the students were examined and were found to be well maintained. Since the home’s last inspection, additional information had Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 14 been added to the care plan of the individual students regarding medication that was required on an “as and when required” basis. The information recorded in the care plan provided details of the symptoms and triggers, which would indicate that the medication should be administered. Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 15 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 and 23 The students’ views were listened to and acted upon. Furthermore, the students were protected from abuse, neglect and self-harm by the good practices operated by the home. EVIDENCE: The manager was found to be well conversant with the importance of having good systems in place to protect the students from abuse. The home had all the appropriate policies and procedures in place, including staff receiving training in the protection of vulnerable adults. From meeting and talking with the students, it was ascertained that they were able to voice their opinions about things and the staff were seen to listen and act upon all comments made. The home had not had any complaints made about the service. Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 16 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 and 30 The premises were clean, attractive and homely and were adapted to reflect the needs of the students. The students’ safety was protected by the home’s good practices in fire safety. EVIDENCE: On following up a previous requirement, evidence was seen which demonstrated that all aspects of fire safety in the home were well maintained and a detailed record of all testing was held. The lounge and kitchen were both seen during the visit. Both areas were found to be clean and designed in a way that reflected the needs of the students. The lay out of the lounge meant that the students had access to things important to them, including music systems that they were able to operate independently. Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 17 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 and 35 The students were supported by a competent and skilled staff team that were familiar with their individual needs. EVIDENCE: From observing staff interaction with the different students, it was confirmed that staff had the skills to communicate effectively with students in a respectful and individualised manner. The manager was good at ensuring that the students were informed of the presence of the visiting inspector and that they were actively involved in the visit, including consulting with them. It was highlighted from reviewing records and speaking with the manager that staff would benefit from training in de-escalation and distraction techniques in supporting a student’s inappropriate behaviour, which sometimes impacted on other students. It was clear that the staff wanted to ensure that any management of a student’s behaviour was carried out in a way that did not infringe upon their rights and had safeguards in place. It was recommended that the organisation arranged for staff to receive specific training. Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39 The students benefited from living in a well run home. However, this good practice was slight compromised by a lack of self-monitoring, which included formally seeking the views of students and stakeholders about the service. EVIDENCE: The manager was found to be skilled and knowledgeable about the students the home supported. The manager maintained that the needs of the students were, in her view, central to running a successful home. The consultation process was a strength of the manager’s abilities. However, this was slightly weakened by a lack of self-monitoring, which extended to carrying out an annual survey. This survey needed to include formally seeking the views of students and other stakeholders, like parents and health professionals, about their opinions about the quality of service provided by the Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 19 home. On completion of the survey, the findings needed to be published and copies provided to students and the Commission for Social Care Inspection. Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 20 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 3 3 X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Henshaws Society for Blind People Score X 2 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X X X DS0000061522.V263826.R01.S.doc Version 5.0 Page 21 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 YA19 Regulation 12 and 18 Requirement The staff team must receive awareness training to support the health needs of students. This needs to include Epilepsy awareness. As part of the home’s quality assurance system, the home must carry out a survey and publish the findings. Timescale for action 31/07/06 2 YA39 24 31/07/06 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 YA35 Good Practice Recommendations It is recommended that staff receive training in deescalation and distraction techniques linked with behaviour management. Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 22 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 Henshaws Society for Blind People DS0000061522.V263826.R01.S.doc Version 5.0 Page 23 - 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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