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Inspection on 23/03/06 for Inshore Support

Also see our care home review for Inshore Support for more information

This inspection was carried out on 23rd March 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home continues to provide a high standard of care. The Care Manager and staff are to be commended on their efforts to encourage the residents to maintain their independence through social activities both within and outside the home. Information available for service users is good. Personal care needs are assessed and met, with each service user having their own care plan. These are detailed and appropriately documented giving clear instructions to staff on service users individual care needs. These are also accessible to all service users. Both of the service users were met and appeared content with the care they were receiving. Risk assessments and information regarding individuals is provided to staff before they begin caring for the individual. There is a clear and accurate complaints procedure that is available throughout the home and in the service user guide and statement of purpose. In regard to the general administration of the home, the inspection revealed that there is a commitment to providing accurate and relevant records.

What has improved since the last inspection?

Since the last inspection the home has made good strides in improving the staff training regime and have started surveying relatives and staff in order to work towards their quality assurance protocols.

What the care home could do better:

To provide regulation 26 reports on the conduct of the home on a regular basis.

CARE HOME ADULTS 18-65 Inshore Support - Wellington Road 110 Wellington Road Bilston Wolverhampton WV14 6AZ Lead Inspector Mr Ian Harris Unannounced Inspection 23rd March 2006 12:00 23/03/06 12:00 Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 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 Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 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. Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Inshore Support - Wellington Road Address 110 Wellington Road Bilston Wolverhampton WV14 6AZ 01902 354481 01384 410429 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) Inshore Support Ltd Mrs Anita Wendy Homer-Golden Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The administration of prescribed medication by specialised techniques (Percutaneous Endoscopic Gastrostomy) is permitted for one named service user in accordance with agreed training, risk assessments and monitoring standards. 25th October 2005 Date of last inspection Brief Description of the Service: Inshore Support is based in the Bilston area of Wolverhampton and is registered as a care home providing personal care and accommodation for 2 younger adults with learning disabilities. It is part of the Inshore Support Ltd group of housing whose main office is in Halesowen. The home is located close to the centre of Bilston with good local amenities. It opened in June 2003 and consists of a two storey terraced property. The two bedrooms are both for single occupancy with bathrooms and toilets close by. There are two lounges, a kitchen and dining area. There is a smallenclosed garden to the rear of the house. Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 2 hours. The main purpose of the inspection was to check the progress made by the home regarding the recommendations and requirements made in the last inspection report. All of the National Minimum Standards inspected were met identifying that the overall quality of care provided is very good. The fullest co-operation was given to the inspection officer by the Deputy Care Manager staff and residents. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked. 2 of the 2 residents were spoken to. On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable and safe with contented residents. The resident that were spoken to have very limited communication skills but both appeares to be very happy. What the service does well: The home continues to provide a high standard of care. The Care Manager and staff are to be commended on their efforts to encourage the residents to maintain their independence through social activities both within and outside the home. Information available for service users is good. Personal care needs are assessed and met, with each service user having their own care plan. These are detailed and appropriately documented giving clear instructions to staff on service users individual care needs. These are also accessible to all service users. Both of the service users were met and appeared content with the care they were receiving. Risk assessments and information regarding individuals is provided to staff before they begin caring for the individual. There is a clear and accurate complaints procedure that is available throughout the home and in the service user guide and statement of purpose. In regard to the general administration of the home, the inspection revealed that there is a commitment to providing accurate and relevant records. Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 Page 6 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. Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 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 Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 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, and 5 All residents are given a written contract on admission to the home. The home provides clear and accurate information to prospective residents on the services provided, enabling them to make a properly informed choice about the home. EVIDENCE: The statement of terms and conditions used by the home meets the standard and there are signed copies in the resident’s files. All the residents undergo a full multi-disciplinary assessment. Copies of the assessment, Care Plan and Reviews are on the residents’ files. Each resident is provided with a detailed service users guide and statement of terms and conditions when they move into the home. This statement contains all the required information. The statement is clear on what the fees do and do not cover. Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 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, and 8 Both of the residents are unlikely to be able to contribute to the assessment process due to the nature of their disabilities. Despite that, appropriate residents care plans, decision making processes and risk assessments have been developed to identify residents’ wishes and needs and safe ways to meet them. EVIDENCE: The care plans were found to be comprehensive and contain regular monthly reviews / summaries and formal six monthly reviews. The dependent resident group have been residing at the home since it opened. The residents are encouraged on an individual basis to be involved in decisionmaking on a daily basis. There is also evidence that monthly residents’ meetings are taking place. Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 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): 11, 12, and 17 The lifestyle of the residents living at this home is excellent and through a framework of activities, independence, personal and social skills they are encouraged to develop. EVIDENCE: The lifestyle of the residents living at this home is excellent and through a framework of activities both within and outside of the home, independence, personal and social skills they are encouraged to develop. In regards to the mealtimes and activities they are flexible and are organised to meet the individual needs of the residents. There was evidence on the service users files to show the daily fluid and food intake and monitoring of this at the end of the 24-hour period. A record is also made when service users refuse fluid and food that are offered. The care staff have been made aware of the procedure when this occurs and the daily amounts necessary to promote good nutrition. Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 Page 11 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 and 21 The personal and health needs of the residents are well met with evidence of regular review and of good multi disciplinary working taking place on a regular basis. EVIDENCE: The home provides a comprehensive Care Plan for each individual resident based on the initial assessment. The Care Plans are drawn up by the Care Staff in consultation with the resident and their family. There was evidence on the files to show the care Plans are being carried out and reviewed on a monthly basis. The home is well supported by local G. P. s. and all of the paramedical services. Wherever possible, the residents are encouraged to retain their own G. P s, Opticians, and Dentists. It was noted that if the resident has moved out of their area the Care Manager ensures that, these services are provided by local practitioners. The records indicate that resident’s medical needs are being met. The medication is only administered by Staff who have been trained to use the system and clear records are being kept. The home has very good policies and procedures, which are used as an integral part of the staff induction programme. Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 Page 12 Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 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 the following standard(s): 22 and 23 The home has policies and procedures in place to ensure that Service users are protected and relatives are able to air their concerns. EVIDENCE: The home has a comprehensive complaints procedure. The residents and relatives are made aware of the procedure through the statement of the terms and conditions of residence and the service users guide. It was noted that no complaints have been received since the last inspection. The home has very good policies and procedures regarding the Prevention of Abuse, Restraint, Dealing with Aggressive Behaviour and a Whistle Blowing policy. Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 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 the following standard(s): 24 and 30 The standard of the environment is good providing service users with a homely and comfortable place to live. EVIDENCE: There are two service users accommodated at the home. Each service user has a lounge and a bedroom, which are comfortable, bright, airy and homely. The staff have a sleeping in bedroom on the first floor. On the day of inspection the home was found to be clean and tidy and decorated and furnished to a good standard. The home has a satisfactory policy and procedure in respect of hygiene and infection control and on the day of inspection was found to be clean and free from odour. There is a satisfactory induction-training programme for all the staff in respect of hygiene and infection control. Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 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 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 34, There appeared to be satisfactory numbers of competent staff on duty at all times to meet the identified care needs of the service users. EVIDENCE: The inspection of staff rotas and discussions with staff indicated that the home is well staffed. There was an adequate number of staff on duty and those spoken to showed knowledge and understanding of the needs and wishes of the residents. The home operates an efficient recruitment procedure and the company has registered with the Criminal Records Bureau in order to complete the appropriate checks on staff. Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 Page 16 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, 41, and 43 The home is well managed, where service users interests and welfare are well promoted. EVIDENCE: The routines and activities within the home are flexible and built around the needs of the residents. There was also evidence to show that staff consult with the residents regarding the choice of meals and activities within the home. There are regular resident meetings where residents are consulted about menus and entertainment. All the records and administrative procedures within the home that were, inspected were found to be well ordered and maintained. However regulation 26 reports are not being sent to the commission. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and a number of staff have received training on these issues Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 Page 17 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 3 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X LIFESTYLES Standard No Score 11 3 12 3 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X 3 3 X 3 X 3 X 3 Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 Page 18 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 YA 39 Regulation 26 Requirement The Registered person must ensure that the Home has an effective system of Quality Assurance. This should include regulation 26 visit undertaken monthly. Timescale for action 01/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Wolverhampton Area Office 2nd Floor St. Davids Court Union Street Wolverhampton WV1 3JE 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 Inshore Support - Wellington Road DS0000044873.V281697.R01.S.doc Version 5.1 Page 20 - 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. 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