Inspection on 22/09/05 for Lingdale Road (7)

This inspection was carried out on 22nd September 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 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

Lingdale Road (7) 11/02/09

Lingdale Road (7) 18/10/06

Lingdale Road (7) 06/02/06

Lingdale Road (7) 06/10/04

Lingdale Road (7) 21/04/04

Lingdale Road (7) 23/05/03

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 Lingdale Road (7) 7 Lingdale Road West Kirby Wirral CH48 5DG Lead Inspector Beate Roth Unannounced 22 September 2005 nd 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. Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lingdale Road (7) Address 7 Lingdale Road West Kirby Wirral CH48 5DG 0151 632 4845 N/A 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) Royal Mencap (Housing & Support Services) Care Home 7 Category(ies) of LD Learning Disability registration, with number of places Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Only 5 adults with a learning disability (aged 18-64 years) Two named adults aged over 65 with a learning disability (not falling into any other category) may be accommodated Date of last inspection 6th October 2004 Brief Description of the Service: Lingdale Road is registered to provide personal care for 7 adults with a learning disability. The home is a three storey, detached property located in a resdiential area of West Kirby. Lingdale road is close to local shops and to public transport services. All bedrooms are single. There are is a shower room on the ground floor and a bathroom on the first floor. On the ground floor there is a kitchen, two lounges and a separate dining room. There is a large garden to the rear of the home. There is an independent living flat situated on the third floor for two service users, which has cooking facilities and a shared bathroom. Parking is available at the front of the home and on the road outside. Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over an afternoon. During the inspection time was spent in the office examining records and policies and procedures and talking to the acting manager, service manager and a member of staff. A tour of the home was undertaken. Service users were spoken with. 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: Written evidence must be available to indicate that all aspects of service users’ care plans have been reviewed. There needs to be evidence held at the home to indicate that staff are competent and suitable to care for vulnerable adults. Service users would benefit from staff undertaking a formal care qualification. Please contact the provider for advice of actions taken in response to this Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 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 Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 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, 3 and 5 Prospective service users benefit from having access to the information they need to make a choice about whether the home is suitable. The assessed needs of service users are met. The contracts/statement of terms and conditions could better support the interests of service users. EVIDENCE: The statement of purpose and the service user guide have been reviewed since the last inspection. These documents cover the required information. As there has been a change to the manager since the last inspection, both documents will need to be amended. The acting manager is advised to review the inclusion of the names of the current service users in the statement of purpose and the service user guide as these documents are available to prospective service users and their representatives. Service users have access to inspection reports. All current service users have been given a copy of the service user guide. The service users, staff and records indicated that service users’ assessed needs are met by close liaison with appropriate health and social care agencies. Induction and foundation training are provided to all new staff around the operation of the home and meeting the needs of the service users. In addition, Mencap offers a variety of further training opportunities for staff. The support of advocacy services is elicited where appropriate. Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 Page 9 The home is leased from New Era Housing. Service users pay rent direct to New Era Housing. A licence agreement is available for service users. The contracts/statement of terms and conditions between Mencap and service users provides information on the service to be provided. The period of notice and the costs payable by service users is not included. This information was available in other records seen, but should be included in the contract/statement of terms and conditions. Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 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 and 9 In general care planning provides clear guidance around a service users needs so as to enable their well-being to be met and to ensure they are appropriately supported. EVIDENCE: A sample of service user plans were examined and cover all the information outlined in the National Minimum Standards. There is evidence of service users being involved in the development of service user plans. A record of the well-being of service users and the progress of the care plan is made daily. Discussion with the staff and the service users and an examination of service user plans indicate 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 a service user’s rights need to be limited in order to safeguard their well being. The acting manager and a member of staff reported that the service user plans are reviewed informally on a monthly basis at staff meetings or more often if service users’ needs require. Some aspects of the service user plans and some risk assessments that were inspected did not clearly indicate the dates of the most recent review and so appeared to have not been reviewed for over 6 Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 Page 11 months. This information must be clearly recorded. A missing persons procedure is available. Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 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) 11, 12, 13, 16 and 17 Service users are provided with opportunities for personal development and appropriate activities that ensure they are part of the local community. The rights of service users and their independence is recognised in their daily lives. EVIDENCE: Records show that there are a range of opportunities for service users to maintain and develop social, emotional, communication and independent living skills. An activities programme sheet is held on service users files and provides an indicator as to a service users participation in activities. Therapeutic services are provided by making a referral to an appropriate organisation. Service users are provided with work experience and attend college courses in accordance with their abilities. Records and a discussion with staff and service users indicated that there are opportunities for service users to become involved in the local community in accordance with their wishes. Discussions with service users and the staff confirmed that the home’s routines are flexible as much as possible. The records inspected indicated the support Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 Page 13 service users need in their daily lives in order to make decisions and encourage independence. Observations during the visit show that staff are respectful and supportive of the service users. The service users interviewed, commented positively on the food available at the home. The service users reported that they help to plan the menu and go shopping with staff. This was observed during the inspection. They considered that their food likes and dislikes and dietary requirements are met by the staff at the home. Care plans indicate the dietary requirements of service users. Advice is obtained from a dietician if this is required. Staff encourage the service users to eat a balanced diet and monitor diet and appetite in order to ensure their well being. Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 Page 14 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 health needs of service users are well met. EVIDENCE: Records show there is clear information available for staff on the personal support service users need that indicate service users preferences. Observations indicated that staff promote the 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 and a discussion with service users indicated that service users have access to medical/health care professionals as needed. Service users are supported to attend health care appointments. Staff are provided with training in order to support service users in meeting their medical needs when this is required. Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 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 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 for staff to refer to. Staff have received training in the adult protection procedure. An adult protection procedure that is more suited to the needs of some service users at the home is also available. Permanent staff are trained in behaviour management strategies such as deescalation techniques. It is understood that this training is also being provided to bank staff as part of their induction. The staff interviewed reported that physical intervention is not used at the home and that it is not a part of any service user’s care plan. This was reflected in the records inspected. A discussion with staff indicated that the strategies in place for safeguarding the financial affairs of service users promote their best interests. The personal allowances for two service users where checked against the records held and were found to correspond. Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 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 standard(s) 24 and 30 The home is clean, safe and generally well presented, providing a comfortable and pleasant environment for service users. EVIDENCE: The home is in general well decorated and provides a comfortable, homely environment for the service users. Although adequate, the dining room carpet and the decoration in the hall and stairways continues to show some signs of wear and tear. It is recommended that this be addressed. The safety of service users is well promoted. A sample of safety certificates and records of safety checks indicated that these are occurring at the recommended frequencies. Water is temperature controlled. All radiators are guarded. A tour of the home showed that the home was clean. It is clear the staff are working hard to ensure good standards of cleanliness are maintained. There are procedures for staff to refer to about hygiene and infection control. Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 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) 32, 33, 34 and 36 There are sufficient numbers of staff to meet the needs of service users. Service users are supported by the training staff have received, however, service users would benefit further, if 50 of staff had completed formal training. The recruitment records do not demonstrate that service users are protected by the homes recruitment practices. EVIDENCE: Comprehensive induction and foundation training is provided to care staff. None of the care staff have completed an NVQ although the service manager reported that steps are being taken to address this. The staffing rota and discussions with the acting manager and staff indicated that there are enough staff available to meet the needs of the service users. Staff are deployed in accordance with their skills and abilities. Bank staff and the current staff team cover any staffing shortfalls. The same bank staff are employed in order to ensure consistency for service users. One new member of staff has been recruited since the last inspection. There were insufficient records available at the home to indicate that this member of staff is suitable to work with vulnerable adults. The service manager was Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 Page 18 spoken with during the inspection who reported that this information will be made available at the home. A discussion with staff and the acting manager indicated that staff receive supervision in accordance with the recommended timescales. Staff also have an annual appraisal. It is recommended that the manager be provided with training around providing supervision. Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 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 practices at the home and training provided to staff promote the safety, health and welfare of service users. EVIDENCE: A new manager has been employed since the last inspection. An application to register the acting manager with CSCI needs to be made within one month. A discussion with the acting manager indicated that she has previous managerial experience in a care setting. The acting manager does not hold an NVQ 4 qualification (or equivalent) in care or management. At the time of the inspection the acting manager was making attempts to enrol on these courses. The records of fire safety checks, gas and electricity were in order. Staff are given appropriate training in safe working practices. There is written information for staff on how to make sure they protect the health, safety and welfare of service users. Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x 3 x 2 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x 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 3 3 3 x x 3 3 Standard No 31 32 33 34 35 36 Score x 2 3 2 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lingdale Road (7) Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 x x x x 3 x F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 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 6 Regulation 15 Requirement Evidence that all aspects of the service user plans are being kept under regular review must be documented. Evidence must be held at the home to indicate that appropriate recruitment checks have taken place to determine the suitability of staff. An application for a registered manager must be made. Timescale for action 22/09/05 2. 34 17 22/09/05 3. 37 8 22/10/05 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. 3. 4. Refer to Standard 1 5 24 32 Good Practice Recommendations The registered persons are advised to review the inclusion of the names of the current service users in the statement of purpose and the service user guide. The service users contact/terms and conditions with the home are to provide clear information about notice periods and about charges to service users. The dining room carpet should be replaced and the decoration in the hall and stairways should receive attention. A minimum of 50 of staff are to have an NVQ level 2 by F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 Page 22 Lingdale Road (7) 5. 6. 36 37 2005. It is recommended that the acting manager undertake training around providing supervision to staff. The registered manager is to hold an NVQ Level IV in both care and management by 2005. Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Liverpool Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI Lingdale Road (7) F52 F02 S18908 Lingdale Road V255565 220905 Stage 4.doc Version 1.30 Page 24 - 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. 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