Inspection on 25/10/05 for Inshore Support

This inspection was carried out on 25th October 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Inshore Support 15/05/08

Inshore Support 28/11/06

Inshore Support 23/03/06

Inshore Support 18/10/04

Inshore Support 21/06/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Inshore Support - Wellington Road 110 Wellington Road Bilston Wolverhampton WV14 6AZ Lead Inspector Gurinder Cheema Announced Inspection 25th October 2005 12:00 Inshore Support - Wellington Road DS0000044873.V256344.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 Inshore Support - Wellington Road DS0000044873.V256344.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. Inshore Support - Wellington Road DS0000044873.V256344.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Inshore Support - Wellington Road Address 110 Wellington Road Bilston Wolverhampton WV14 6AZ 01384 868421 01384 824332 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.V256344.R01.S.doc Version 5.0 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. 18th October 2004 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.V256344.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual inspection of the year. Care homes are inspected at least twice a year. The inspection was announced and took place on 25th October 2005 between 12:00pm and 2:30pm. The manager, staff on duty, and the service users, who were both available, were all very welcoming and helpful throughout the inspection. Two of the National Minimum Standards inspected were not met however the overall quality of care provided appeared to be good. Written comments and feedback via questionnaires were sought prior to the inspection from a number of individuals. These included: Service users, staff, General Practitioners, Health and Social care professionals and service users’ carers. There were no questionnaires received back however a relative did turn up to speak to the inspector on the day of the inspection. The care home has a history of meeting national minimum standards and providing a good service for people; consequently on this occasion mainly those standards identified as “key” by CSCI have been inspected. What the service does well: 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 service users were met and appeared content with the care they were receiving. The father of one of the service users was spoken to during the inspection. Comments received were all very positive and included: “Staff are caring and supportive” “They keep me informed of changes” “My son has improved since coming onto the home” 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.V256344.R01.S.doc Version 5.0 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.V256344.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 Inshore Support - Wellington Road DS0000044873.V256344.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): 2 Pre-admission assessments were seen to be appropriately carried out ensuring that the home is able to meet the needs of the individuals. EVIDENCE: Inspection of both of service users files evidenced that the home has an appropriate assessment format and that both of the service users were admitted on the basis of a full assessment, with the local Advocacy Scheme for assistance. Inshore Support - Wellington Road DS0000044873.V256344.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 and 9 The service user plans are satisfactory, and updated at intervals ensuring that individuals’ needs are met. EVIDENCE: There was evidence on the service users’ files that showed that the care plans have been generated from assessments. The care plans set out the current and specialist care needs and requirements of the service users. The care plans are updated and reviewed as the needs changes, and detailed reviews are carried out by the relevant specialists with input by the service users and their families and care staff of the home. The reviews should however be conducted at least six monthly. The home has provided a written procedure in relation to decision making by service users as integral part of care planning process. The care staff respect service users’ right to make decisions within the context of risk assessments and care plans and the service users’ relatives involvement. Inshore Support - Wellington Road DS0000044873.V256344.R01.S.doc Version 5.0 Page 10 There was evidence to show that the home has undertaken risk assessments and developed risk management strategies that are agreed and recorded in the individual service users’ care plans and are reviewed on a regular basis. Inshore Support - Wellington Road DS0000044873.V256344.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): 12,13,15,16 and 17 Residents are helped and encouraged to keep in contact with their families and friends and make good use of local facilities. EVIDENCE: There was evidence that the service users are positively encouraged by the care staff to continue their educational/training activities, for example both service users attend local college and placement in a local day centre. The service users also enjoy taking-up social and leisure activities. Both service users access resources in the local community and are assisted by staff when doing so. Until recently one of the service users was attending a local college and the Registered Manager is now in the process of arranging day care placements. There was evidence to show that care staff support service users to maintain family links and friends, inside and outside of the home in accordance with their care plans. The home has good policies and procedures on personal relationships and sexuality. Inshore Support - Wellington Road DS0000044873.V256344.R01.S.doc Version 5.0 Page 12 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. The relative spoken to commented positively about the nutritional meals available and how his son’s health had improved through this since moving into the home. Inshore Support - Wellington Road DS0000044873.V256344.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): 18,19 and 20 The personal and health needs of service users are well met with evidence of regular review and of good multi disciplinary working taking place on a regular basis. EVIDENCE: There was evidence to show that staff provide sensitive and flexible personal support and care to maximise service users’ privacy, dignity, independence and control over their lives. The staff were also observed to be assisting service users to receive personal support they prefer and require. There was evidence to show that the home is well supported by the local GPs, medical staff at Pond Lane and by other paramedical services when needed. The home maintained all the relevant health checks records in the service users’ files. Inshore Support - Wellington Road DS0000044873.V256344.R01.S.doc Version 5.0 Page 14 From the examination of the medication procedures it was evident that the home has policies and procedures for the receipt, storage, handling, recording, administration and disposal of medicines. The Registered Manager also ensures that only staff appropriately trained administer medication. The service users’ consent to medication has been obtained and recorded in the individual care plans. Inshore Support - Wellington Road DS0000044873.V256344.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 service users are protected from abuse with good policies and procedures in place. EVIDENCE: The home has a good Complaints Procedure that is included in the Service Users’ Guide and Statement of Purpose. A recent complaint was seen to have been appropriately dealt with and in line with the procedure. The home has good policies and procedures in place with regard to adult protection, restraint, and dealing with aggressive behaviour and guidance for staff on physical intervention. Good records were seen to have been kept when any such issues occur. Inshore Support - Wellington Road DS0000044873.V256344.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 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 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.V256344.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): There appeared to be satisfactory numbers of competent staff on duty to meet the identified care needs of the residents. EVIDENCE: These standards were not inspected fully on this occasion. However, there appeared an adequate number of staff on duty and those spoken showed knowledge and understanding of the needs and wishes of the residents. The relative spoken to commented positively about the staff and stated that they are caring and responsive to their needs. Inshore Support - Wellington Road DS0000044873.V256344.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): 42 Health, safety and welfare of service users and staff are promoted by safe working systems in place. EVIDENCE: There is evidence of regular checks and maintenance of the equipment used in the home including electrical wiring and Gas Safety. Inshore Support - Wellington Road DS0000044873.V256344.R01.S.doc Version 5.0 Page 19 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 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 x 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 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Inshore Support - Wellington Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000044873.V256344.R01.S.doc Version 5.0 Page 20 Yes 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 YA39 Regulation 12,13,24 Requirement The Registered Provider must ensure that there is an annual Quality Assurance development plan for the home, based on a systematic cycle of planning – action, review, reflecting aims and outcomes for service users. The Registered Manager must ensure that care plan reviews are conducted at least every six months. Timescale for action 31/12/05 2 YA6 14 (2) 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Inshore Support - Wellington Road DS0000044873.V256344.R01.S.doc Version 5.0 Page 21 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.V256344.R01.S.doc Version 5.0 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!