Inspection on 29/06/06 for Henshaws Society for Blind People

This inspection was carried out on 29th June 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 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

Henshaws Society for Blind People 27/01/06

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 Key Unannounced Inspection 29th June 2006 09:30 Henshaws Society for Blind People DS0000061522.V301905.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 Henshaws Society for Blind People DS0000061522.V301905.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. Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 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 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.V301905.R01.S.doc Version 5.2 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. 27th January 2006 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.V301905.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector went to the home without telling them she was going to visit on the morning of Thursday 29th June 2006. Over 1½ hours were spent visiting the home. During this time a student was met and time was taken to talk to them about their experiences of living at Yew Tree Lane. During the visit to the home the inspector also: • Spoke with the staff on duty • Looked at some students care plan records. • Looked around the home. This report has taken into account things that were found during the site visit, from information received through questionnaires and other information, which the commission knew about the agency. There were some important things the inspector wanted to find out about the care given by the home. These were: • • • • How the health needs of students were met. How the personal care needs of students were being met. How the staff helped to kept students safe and promoted community involvement. How the home respected the student’s rights, diversity and identity. The term of address preferred by the users of the service was confirmed as “students”. What the service does well: These are some of the good things that the home was found to be doing well. The home’s inspection reports are made available to students’, families and professional on request. A copy of the home’s Statement of Purpose and Service Users Guide is always made available to read at the home. Things that students liked about the home include. • The staff. • Always receiving the care and support they needed. • Having a nice home. These things showed that the students liked the staff that helped them and liked living at Yew Tree Lane. Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 Page 6 • The staff had been trained in meeting the care needs of students. This showed that the staff team were sufficiently skilled to meet the everyday needs of students, which in turn meant the students remained healthy and their welfare was safeguarded. The care planning system was very informative and provided a lot of important information that the staff needed to know to make sure they were able to meet the care, health and diverse needs of students. This showed that the staff caring for the students’ were being well informed about how to keep the students healthy, safe and the importance of respecting individual identity. The cultural and religious needs of students were detailed in the care plan. This gave information about what the staff should do to respect and help the students to practice their beliefs. Also the facilities at the home meant that students could practice their faith whenever they wanted. This showed that the diverse needs of all students were respected and were positively supported by the staff team. • • What has improved since the last inspection? • The staff had received training in Epilepsy awareness. This had meant they were better informed about how to help students that have seizures. This included identifying what type of seizure it was and what treatment / help was necessary. The home had started developing a quality assurance system which monitored the quality of the service. This included asked people including families about their experiences of the service. This helped the home to be better informed about the way they provided care and whether students’ needs were being met. • 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.V301905.R01.S.doc Version 5.2 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.V301905.R01.S.doc Version 5.2 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective Students were admitted to the home in a way which meant they were well informed, with their wishes taken into account and their needs sufficiently assessed. EVIDENCE: The home monitored the care of the students, including updating their care assessments when changes in their needs were identified. The Service User Guide was available in different formats to assist the students to be informed about the home. This included Brail or Audio taped versions. The staff member interviewed during the site visit explained how the home was in the planning stage for admitting two new students. This included seeking the advice of Physiotherapists and Occupational therapists and provided the prospective students opportunities to visit the home. The layout of the accommodation and assessing both the care and health needs of prospective students were considered important. This was aimed at ensuring their independence was promoted. Also that staffing matched their needs and that the compatibility of current students and any prospective students was established. It was highlighted that for these reasons all admissions were planned. Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The students benefited from having an informative care plan that highlighted their needs. This included having their care needs recorded and assessing risks that enabled the student to maintain as much independence as possible. EVIDENCE: The care planning records of two 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 staff 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 staff and watching their interaction with a student, that the student was being consulted over all aspects of their life and was making informed decisions. For example, a student was asked if they wanted to do some baking. They were then asked what they wished to bake, Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 Page 10 giving options. This approach demonstrated involvement and choice before a decision was reached. 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 site visit, the approach used by staff to consult with them was through more day-to-day contact as this was found to be the most informative and beneficial way. 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 was considered to be potentially overwhelming to the students. Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 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): 12, 13, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The students were able to exercise their rights, including having their cultural/religious, privacy and their diverse needs valued by Yew Lane. Students were enabled to choose their own daily routines, maintain family links, and benefited from having a varied and nutritious diet. EVIDENCE: The students’ rights were seen to be respected and they were encouraged to develop their independence. The care plan carried lots of information about students’ preferences. For example, if they wished to hold a key for their bedroom, if they wanted their door locked when they were not about, whether they wanted staff help to manage their mail. Recognising and valuing diversity was a strong feature of the home’s ethos and the care plan was a source of evidence that supported how in day-to-day living this was to be achieved and respected. For example meeting student’s physical disabilities, which included staff being given guidance, with supporting Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 Page 12 pictures, about how a student wished to be supported to mobilise. Other areas included respecting cultural identity. The home had just had Sky fitted to allow better access for students to channels specific to their different faiths. Other information found in the care plans were details about what was expected of staff when they escorted students to places of worship. The students all attended a varied range of college courses. It was noted that colleges were all about the finish for the summer. During this period other activities were set up, for some students this involved going to visit parents and for others a opportunity to attend a varied range of summer schemes. In addition to these things the home also arranged trips out to places of interest. The staff on duty at the site visit demonstrated a good awareness of the different methods of communication used by the different students and their approach was observed to be respectful. From examining menus and care plans evidence was seen that meals served respected the students difficult cultural needs. This included how food was stored and prepared. From talking with staff and reviewing the menus it was noted that each week the planning of meals was completed in consultation with the students and menus generated from the students involvement. Family links were seen to be encouraged and supported by the home. Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 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): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The students were having their personal and healthcare needs met by the home. This included ensuring that care of medicines was managed well and having good arrangements in place for safeguarding students’ health and welfare. 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 staff and reviewing the care plans that some of the students’ health needs had changed. This had resulted in staff receiving further training in Epilepsy awareness. Also the home had good links with the community health teams, where advice and guidance could be sought. The medication records of the students were examined and were found to be well maintained. Additional information about medication and the link to a student’s health were included in the care plan. This included 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.V301905.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The students’ views were listened to and acted on. Also, policies and procedures and training programmes were in place which ensured that students were safeguarded from all forms of abuse. EVIDENCE: The staff member on duty was found to be well informed 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 a student and information provided in a questionnaire from another student it was noted that they were in their own different ways able to let staff know it something was wrong. One student stated they would shout. Following an incident a few weeks ago it was noted that the impact of the incident was discussed with the student who had been affected and their right to complain was openly offered and recorded. Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 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, 25, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The students were able to accommodate their possessions, pursue their chosen interests/activities and were offered sufficient privacy. Their health and wellbeing was being protected by the premises that were in a good state of cleanliness. EVIDENCE: Fire records were adequately maintained including having a detailed record of all testings that had been completed. The lounge, bathroom and kitchen were seen during the visit. These areas were found to be clean and designed in a way that reflected the needs of the students. The layout of the lounge meant that the students had access to things important to them, including music systems that they were able to operate independently. The staff confirmed that students were encouraged to personalise their rooms to meet their needs, reflect interests and to accommodate their possessions and practice their religious beliefs. Privacy was respected and where care Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 Page 16 needs impacted on the student’s privacy a risk assessment was added to the care plan and detailed about the way staff should support the student so that their privacy to a degree could be preserved. Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 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, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were good practices in staff training and the staffing levels reflected the needs of the students. This meant that there was enough staff to make sure students were well cared for and their welfare protected. EVIDENCE: From observing staff interaction with a student, it was found that staff had the skills to communicate effectively. This was seen to be done in a respectful and individualised manner. It was noted from speaking with staff that training was good within the organisation. This included being supported to complete the LDAF award (Learning Disability Assessment Framework) and then onto their NVQ. Also, other key training was provided which included Manual Handling, Epilepsy awareness, care of medicines and First Aid. Staffing levels were found to reflect the needs of students and provided adequate time for meeting personal care and social needs. It was however, noted that in recent weeks due to staff shortages it had been necessary to rely on agency staff to cover some shifts. The organisation was seen to be actively attempting to recruit new staff and was ensuring where agency staff were used they were familiar with the home and the needs of the students. Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 Page 18 From talking with the manager it was confirmed that recruitment of staff included receiving an application which included a full employment history. Also all prospective staff were subject to a satisfactory CRB prior to commencing employment and two references obtained, one which had to be from their last employer. Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 Page 19 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, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well managed and there were good health and safety procedures. Quality assurance systems were in place where the views of students and their familiars were sought. EVIDENCE: The home had a new manager, who had been in post just over a month. She was adequately skilled and knowledgeable about the students the home supported. The manager confirmed that work on self-monitoring the service was well on the way, including setting up an annual survey. This survey was aimed at formally seeking the views of students and other stakeholders, like parents and health professionals, about their opinions regarding the quality of service provided by the home. Once completed the manager confirmed the findings Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 Page 20 would be published and copies provided to students and the Commission for Social Care Inspection. All aspects of health and safety including fire tests were found to be order. Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 Page 21 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 3 2 3 3 X 4 X 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 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Henshaws Society for Blind People DS0000061522.V301905.R01.S.doc Version 5.2 Page 23 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. 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