Inspection on 15/08/05 for Kenneth House

This inspection was carried out on 15th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Kenneth House 16/02/07

Kenneth House 16/12/05

Kenneth House 27/01/05

Kenneth House 12/08/04

Kenneth House 27/02/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Kenneth House 121 Raeburn Avenue Eastham Wirral CH62 8BD Lead Inspector Beate Roth Unannounced 15 August 2005 th 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 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 Stationary 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. Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Kenneth House Address 121 Raeburn Avenue Eastham Wirral CH62 8BD 0151 327 3680 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Wirral Autistic Society PC Care Home 4 Category(ies) of LD - Learning Disability - 4 registration, with number of places Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th January 2005 Brief Description of the Service: Kenneth House is registered to provide personal care for four adults with a learning disability. The home is a two storey semi-detached property located in a residential area. On the ground floor there is a lounge with patio doors leading to a large garden, dining room, kitchen and a toilet. On the first floor there are four single bedrooms, an office/staff sleep in room, and two bathrooms. Parking is available on the main road. Kenneth House is close to local shops and to public transport services. The home is run by Wirral Autistic Society who have several care homes for adults with a learning disability in the area. Wirral Autistic Society provides a range of services and facilities, which are fully utilised by the service users, accommodated at Kenneth House. Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during an evening. During the inspection time was spent in the office examining records and policies and procedures and talking to the acting manager and two members of staff. A tour of the home was undertaken. Staff were observed delivering care to service users. 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. Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 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 standard(s) 1, 2 and 5 A full assessment would take place to ensure that a service user’s needs could be met. The contracts/terms and conditions could better support the interests of service users. EVIDENCE: A statement of purpose and a service user guide are available. Both documents cover the required information. Consideration should be given to making the service user guide more suited to the needs of the service users who live at the home. There have been no new service users admitted to the home since the last inspection. New service users would be assessed by the manager for the home and by a representative from day services. The manager would visit a prospective service user where they are living. Information would be gathered from the service users’ carers, social worker and any other relevant agencies. An examination of an initial assessment pro forma at a previous inspection indicated that all the information recommended in this standard is available. An assessment would be made if a service user moved to the home from another home within the Society. This information would be recorded. Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 Page 9 The contracts/terms and conditions between the home and the service user are in the process of being reviewed. At the last inspection it was recommended that service users be supported by family, friends and/or advocate, as appropriate when drawing up the contract and that clear information around any costs a service user has when they go out with staff is provided. Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 Page 10 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 standard(s) 6, 7 and 9 Care planning reflects the assessed and changing needs of service users and service users’ need for independence is balanced with any risks to their wellbeing. EVIDENCE: A sample of service user plans were inspected and contained detailed and clear information to enable staff to provide appropriate support around day-to-day living and personal goals. These plans are formulated at a service users review and cover the information required by the National Minimum Standards. A review had taken place within the last 6 months. The documentation available from reviews indicated that the service user, their relatives, social worker and other relevant individuals are invited to contribute to reviews. An examination of the service user plan indicated that service users’ rights to live as independently as possible, in accordance with their abilities, is promoted by the home. Risk assessments are available which indicate why service users’ rights need to be limited in order to safeguard their well being. There is evidence that agreement is reached with the service user, family and the funding authority with regard to any restrictions placed on a service users Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 Page 11 day-to-day life. Reactive plans, which detail behaviour management strategies are also available. These are appropriate and indicate that minimum physical intervention strategies would be used. Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 Page 12 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 standard(s) 13, 15 and 16 The daily routines and arrangements for maintaining family links and community involvement ensure that the preferences of service users are provided for. EVIDENCE: Records and a discussion with staff indicate that there are opportunities for service users to become involved in the local community in accordance with their wishes. The home has access to private transport and there is easy access to train and bus services. Records and a discussion with a member of staff indicated that staff support service users to maintain family links and to establish and maintain friendships were appropriate. Discussions with the staff confirmed that the home’s routines are flexible as much as possible. The records inspected indicated the support service users need in their daily lives in order to make decisions and encourage independence. Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 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 standard(s) 18 and 19 The personal care and health needs of service users are well met. EVIDENCE: Records detail the personal care needs of service users to be met by staff. Observations indicated that staff promote the privacy and dignity of service users. Consistency and continuity of support for service users is provided through the key worker system. Visits to service users from medical/health care professionals take place in private. Records of reviews indicate that service users have access to medical/health care professionals as needed. Service users are supported to attend health care appointments. Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 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 standard(s) 23 The practices at the home provide protection for service users. EVIDENCE: A copy of Wirral Borough Council’s adult protection procedure was available at the home. A shorter and more accessible version of the adult protection procedure has been made available by Wirral Borough Council and was at the home for staff to refer to. Staff have received training in the adult protection procedures. From discussion with a member of staff and from an examination of the financial records, the home’s policies and practices with regards to service users’ money and financial affairs safeguard service users. The personal allowance records for the service users were inspected. Care needs to be taken in this area of record keeping as one of the four service users had 15p more than indicated in their personal allowance records. Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 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 standard(s) 24 and 30 The home in general provides a safe, comfortable and pleasant environment for service users. EVIDENCE: The premises provide a comfortable environment for service users and are satisfactorily maintained. The home was clean and odour free at the time of the inspection. Since the last inspection maintenance work has taken place to address issues identified in the last inspection report. One bathroom at the home would benefit from redecoration, there are holes in the tiles where the shower rail has been removed. The decoration in the communal areas of the home is beginning to look a little worn. At present a request is made to Wirral Autistic Society’s maintenance department for decorative work to be undertaken when it is considered necessary rather than there being a planned maintenance and renewal programme for the decoration of the premises. Consideration should be given to putting this in place. A re-assessment of the risks presented by radiators that are not temperature Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 Page 16 controlled has taken place and appropriate measures taken. Thermostatic mixing valves with lockable temperature controls are fitted to the bath and bathroom sink. It continues to be recommended that design solutions that control the risk from all radiators that can exceed 43 degrees centigrade be provided to all radiators. A sample of safety check and inspection records were examined and found to be in order. Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 34 Service users are in general supported and protected by the number and skills of staff available. Service users are protected by the recruitment practices of the home. EVIDENCE: There is generally two member of staff on duty at all times. At the weekends there are periods where there is only one member of staff on duty. The staff interviewed reported that given the needs of one service user it would be beneficial to have two staff on duty throughout the weekends. This was discussed with the acting manager who has reviewed the staffing arrangements at the home and is to continue to keep this matter under close review. There is a network of support provided by Wirral Autistic Society for lone workers. Lone worker risk assessments are available. There are currently three permanent staff working at the home with absences being covered by permanent or bank staff. Bank staff have been recruited to work for Wirral Autistic Society to cover absences in the homes if needed or to provide support within the day care service. A comprehensive induction and foundation training programme is provided to permanent staff. This training is also provided to bank staff so as to ensure that they are appropriately trained should they need to be deployed. Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 Page 18 No new staff have been appointed since the last inspection. Steps were taken following the last inspection to obtain information relating to the recruitment of staff that was not available. Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 and 42 The management arrangements of the home do not fully support the needs of service users. The practices at the home and training provided to staff promote the safety, health and welfare of service users. EVIDENCE: Since the last inspection the acting manager has submitted an application to CSCI to become the registered manager. This application is being withdrawn and a manager from another of Wirral Autistic Societys services is to be appointed. There has been a lack of consistency in the management arrangements at kenneth House for the last 3 years, this does not promote the interests of service users and staff. The staff spoken to expressed their disappointment over further management changes. Training on safe working practices such as manual handling, fire safety, infection control and first aid is provided to staff. There are a range of policies and procedures available that promote safe working practices. Wirral Autistic Society has a health and safety advisor who is available to provide advice and Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 Page 20 who has responsibilty for promoting a safe environment within the homes. A sample of certificates of safety tests were inspected and found to be in order. Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x 2 Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kenneth House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 x x x x 3 x F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 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. 1. 2. Standard 23 37 Regulation 17 8 Requirement Accurate records of service users personal allowances must be maintained. An application for a registered manager must be made. Timescale for action 15/08/05 15/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 1 5 Good Practice Recommendations It is recommended that the service users guide is made available in more suitable formats for the people for whom the home is intended. It is recommended that service users be supported by family, friends and/or advocate, as appropriate when drawing up the contract. The service user guide/contract should provide clearer information on the costs service users may have to meet when going out with staff. It is recommended that design solutions that control the risk from radiators that can exceed 43 degrees centigrade be provided. It is recommended that a planned maintenance and renewal programme for decoration of the premises be put in place. Attention should be given to the decoration in the bathroom to the left of the stairs. F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 Page 23 3. 4. 5. 24 24 24 Kenneth House Kenneth House F52 F02 S0000018903 Kenneth House V245084 150805 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 3rd Floor 10 Duke Street Liverpool L1 5AS 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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