Inspection on 28/11/06 for Inshore Support

This inspection was carried out on 28th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 1 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 23/03/06

Inshore Support 25/10/05

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 Mike Moloney Key Unannounced Inspection 28th November 2006 09:00 Inshore Support - Wellington Road DS0000044873.V321970.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 Inshore Support - Wellington Road DS0000044873.V321970.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. Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 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 Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 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. 23rd March 2006 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. Current fees range from £2021.66 per week to £2135.85 per week. Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service What the service does well: 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. The summary of this inspection report can be made available in other formats on request. Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 Page 6 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.V321970.R01.S.doc Version 5.2 Page 7 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. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: No new service users have been admitted to this service for some time therefore it was not possible to assess their admissions procedures. Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking at the records and talking to the manager and her staff it was clear that care plans are developed following person centred planning principles. They are presented in a clear and easily understood format that ensures staff and other interested people can access and understand the information it contains. It is written in plain language, is easy to understand and considers all areas of the individual’s life including health; specialist treatments, personal and social care needs. Looking at the records established that the plans were reviewed regularly. They are updated and action taken to respond to any changes. All members of staff regard the plan as a working tool and have signed to say that they understand it and support residents to achieve their desired outcomes. Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 Page 9 Talking with the staff confirmed that they are aware of current good practice and their practice promotes individuals to develop skills. Looking at the records established that each care plan includes a comprehensive risk assessment. Management of risk takes into account the age, specialist needs of people who use the service, balanced with their aspirations for independence and choice. Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. People who use services are able to make choices about their life style, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff were observed interacting with the residents in a manner that promotes individual rights and choice, but also considered protection of individuals, supporting people to make informed choices. This was done by constant ‘chat’ with the individuals and quickly responding to the feed-back that they received. It was also seen that help with communication was given by the staff team and this was demonstrated particularly well when helping the inspector to communicate with both people. Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 Page 11 Looking at the records and talking with the manager and her staff established that the residents are involved in meaningful daytime activities and it could be seen from the enthusiasm with which they left the building on the day of the inspection that the activity was one of their own choice and according to their individual interests and capability. The nature of their disabilities means that they could not be fully involved in the planning of their lifestyle and quality of life but that same enthusiasm confirms that those who had arranged the activity had made an accurate assessment of their preferences. Talking with the manager confirmed that education opportunities are encouraged, supported and promoted. Service users can access and enjoy the opportunities available in their local community, e.g. using public transport, parks and zoos, bowling alleys, and local leisure facilities. One of the residents was seen being encouraged to prepare his own breakfast. That same person was also very keen to show the inspector his room and particularly the photographs of his family that were displayed on his wall. When asked if he liked his room he nodded enthusiastically. As mentioned elsewhere in this report there are issues around nutrition and feeding highlighted in one of the care plans and those records demonstrate the care with which the home ensures that that person receives a balanced diet. Observation during the inspection and looking at other records established that equal care, if not detail, is given to ensuring that the other service user’s diet is nutritious and to his liking. From observing the service user in question it is clear that he would be quick to make it clear if he did not like something given to him and, as pointed out elsewhere in this report, the staff would be likely to respond to his views. Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking at the service users’ files it could be seen that dietary requirements are clearly recorded in each resident’s plan and they give a comprehensive overview of their health. Talking with and watching the staff it could be seen that they understand the key principles of giving personal support and are responsive to the varied and individual requirements of the residents. From the records seen residents have access to healthcare services as necessary. The home was seen to have appropriate storage, records and policies and procedures for the safe handling of medication and the records showed and staff confirmed that they had received training in such. Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. Despite their lack of communication skills the people who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: By looking at the records it could be seen that the service has a complaints procedure that is very clearly written and is easy to understand. Residents would find it difficult to access the formal procedures within the home but talking with the staff established that they are constantly vigilant for issues with which the service users have expressed displeasure and they see it as part of their function to address such problems for them. Discussions with the staff also demonstrated that any issues around abuse would be treated in a similar fashion and the correct Adult Protection processes would be initiated should the need arise. It was confirmed that no such referrals had been necessary. The home holds cash for the service users. It was seen that correct records of this were maintained and these were monitored on a daily basis by the staff and on a monthly basis by a visiting senior manager. Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: By looking around the building it could be seen that the home provides a physical environment that is appropriate to the needs of the people who live there. The well-maintained environment provides furniture and equipment to meet the needs of the residents. The home is well lit, clean and tidy and smells fresh. Flooring throughout the house had been recently replaced. The home was seen to have a good infection control policy and it was clear from looking around the building that the staff adhere top it. Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 Page 15 The laundry was seen to be equipped to an appropriate standard that meets the needs of the service users. Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Quality in this outcome area is excellent. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service and to support the smooth running of the service. Both the manager and her team are particularly enthusiastic in supporting the service users in a very sensitive manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was seen by looking at the staff records and talking to the manager and the staff that the home has an appropriate recruitment procedure that involves carry out the background checks that are necessary to establish that anyone who starts work at the home is fit to work with vulnerable people. Observing the staff on the day of the inspection showed them to be sensitive to the needs of the individuals. The service users were clearly fond of the manager and her team and this affection was seen to be managed in a caring but professional way. The staff were seen to communicate well with both service users and the service users responded in a manner that demonstrated that they were used to the staff showing an interest in whatever they tried to communicate. The staff Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 Page 17 appeared to share the service users’ enthusiasm for the activities that they are involved in. Talking with manager and the staff confirmed that a variety of training opportunities are available to the staff and they confirmed that they take advantage of these with 70 of the team being qualified to NVQ 2 in care or above. Staff records showed that the management prioritise training and enables staff members to undertake external qualifications beyond the basic requirements. Induction training is part of the package of training available. Looking at the staff rota and talking with the staff on duty confirmed that staffing levels are maintained at the 1:1 levels established against the needs of the residents. Records showed that individual supervision sessions take place regularly and staff say that they find them useful for their professional development. Talking with the staff confirmed that all staff recruited understand and are aware of the specific nature and uniqueness of the home, its aims and objectives and how care will be delivered Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a competent manager who is working towards an appropriate qualification. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Manager is in the process of applying for registration with the Commission for Social Care Inspection. She is currently working towards the qualifications that are appropriate for someone who manages this type of service. A variety of records were seen that demonstrate that the health and safety of those living, working and visiting the service was being monitored. Records of the hot water temperatures, food temperatures, fire equipment tests and electrical portable appliance tests were amongst those checked. Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 Page 19 A variety of risk assessments were seen to be available to assist the staff in managing activities and behaviours but none were available for the use of hazardous substances such as cleaning materails although the product data sheets were available. Looking at the individual training records showed that the mandatory safety training in such things as infection control and food hygiene was seen to be available to the staff team. The manager stated and the records confirmed that the monthly visits required under Regulation 26 of the Care Homes Regulations 2001 were carried out regularly. Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 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 Standard No Score 1 x 2 x 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 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 4 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 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 Inshore Support - Wellington Road DS0000044873.V321970.R01.S.doc Version 5.2 Page 21 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA42 Regulation 13(4)a Requirement Risk assessments must be carried out on any hazardous substance stored and/or used within the home. Timescale for action 28/02/07 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.V321970.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V321970.R01.S.doc Version 5.2 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. 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