Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 27/06/07 for London Road Neurological and Specialist Care Unit

Also see our care home review for London Road Neurological and Specialist Care Unit for more information

This inspection was carried out on 27th June 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What the care home does well

London Road Care Home provides excellent care for the specialist residents, from a well- trained and committed staff. The care staff and the manager meet the needs of the residents and show empathy and support when looking after themLondon Road Care Home gives the resident with a safe and pleasant home to live in, with the facilities for the best quality of life as possible. The staff are well supported in their work particularly with the type of care that they are giving.

What has improved since the last inspection?

All of the staff records looked at had the necessary documentation. The home has programme of ongoing refurbishment and redecoration. The public areas are almost complete, including the bathrooms with the bedrooms being started.

What the care home could do better:

There have been no requirements or recommendations made on this visit.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 London Road Neurological and Specialist Care Unit 362 London Road Leicester Leicestershire LE2 2PU Lead Inspector Thea Richards Unannounced Inspection 27th June 2007 10:00 London Road Neurological and Specialist Care Unit DS0000001915.V344829.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 London Road Neurological and Specialist Care Unit DS0000001915.V344829.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 Older People and 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. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service London Road Neurological and Specialist Care Unit 362 London Road Leicester Leicestershire LE2 2PU 0116 2706991 0116 2707181 suelrnscu@hotmail.co.uk Address 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) Cheer Health Limited Mrs Judith Tart Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability (33), Physical disability of places over 65 years of age (33), Terminally ill (6), Terminally ill over 65 years of age (6) London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person to be admitted to the home in categories TI or TI(E) when 6 persons in total of these categories/combined categories are already accommodated in the home. 17th November 2005 Date of last inspection Brief Description of the Service: London Road Neurological & Specialist Unit provides nursing care for up to thirty-three people, who are over 18 years old. They provide specialist facilities for people with neurological diseases, acquired brain injury, respiratory disease, those people who need palliative and terminal care and some care for older persons. London Road Care Home is situated on the main road on the outskirts of Leicester city centre and is within half a mile of the train station. The home is easily reached by private or public transport and has parking in the grounds. It is in a large, converted Victorian House, which has been extensively developed and modernised by the present owners. This provides suitably adapted facilities for the specialist needs of the residents. There are lounges, dining rooms, a quiet room and a physiotherapy room. On the ground floor is a conservatory leading to a mature garden, which is accessible for the residents. The home has mainly single bedrooms with a small number of doubles and has suitably adapted bathrooms with assisted baths. There are Registered Nurses on duty at all times supported by care and ancillary staff and a part time physiotherapist is employed together with an on call General Practitioner. A Consultant responsible for people with neurological conditions makes regular visits to the home. The home can be contacted by telephone, fax or email. Because of the individual and specialist care that is given in the home fees are arranged on an individual basis with the resident and the and/or the negotiated arranged with the resident and/or the department helping with the placement. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 5 There are extra charges for aromatherapy hairdressing, chiropody, newspapers and personal items. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of the care home, which ended with an unannounced visit to the service. Before the visit the inspector spent six hours reviewing information received by the Commission for Social Care Inspection (CSCI) since the last inspection on 17th November 2005. The visit took place on the 27th June 2007 and lasted seven hours. During the visit the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that the inspector looked at the care provided to three of the residents. To achieve this, the residents and, where possible, their families were spoken with. The inspector spoke with the staff supporting their care and looked at the records relating to their health and welfare. With their permission, the residents’ bedrooms were looked at. The inspector also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. The inspector looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them were looked at. The inspector looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. During the visit the inspector spoke with the manager, staff, residents, the residents’ families and other visitors to the home. What the service does well: London Road Care Home provides excellent care for the specialist residents, from a well- trained and committed staff. The care staff and the manager meet the needs of the residents and show empathy and support when looking after them. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 7 London Road Care Home gives the resident with a safe and pleasant home to live in, with the facilities for the best quality of life as possible. The staff are well supported in their work particularly with the type of care that they are giving. 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. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. 3. 6 is not applicable in this home. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ needs are very well assessed before moving into the home by the completion of a pre-admission assessment by an experienced member of staff. A visit to the service by their family makes sure that they will receive the right care. EVIDENCE: The residents who were case tracked had all received a Statement of Purpose and a Service Users guide. The Statement of Purpose and Service Users’ Guide provide all of the required information about the services offered and the Terms and Conditions that apply. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 10 Having a thorough Statement of Purpose & Service Users’ Guide makes sure that the residents and their families have good information, to let them make a decision, which will give them the most suitable care. The residents families spoken with told the inspector that they had a visit from the home manager before their relative was admitted. They confirmed that they were given the opportunity to visit the home before they came in. The staff are given information about residents who are coming into the home before they arrive. This includes what their illness is, the care that they will need and their family situation. The staff are given any extra training that they may need to care for individual residents. This is good practice and to be commended. This makes sure that that the staff in the home have the the right information before the resident is admitted so that they get the best care. It makes sure that the home can meet the residents needs and that where they are able, the resident meets someone from the home who they can recognise. This makes the move into care easier to manage for them. Members of the staff spoken with said that they always knew what the residents needs were before they moved in. The current registration certificate from the Commission for Social Care Inspection (CSCI) was displayed in the entrance of the home. An up to date insurance certificate was displayed in the entrance hall. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9(Adults 18-65). 7,14,33(Older Persons) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff are dedicated to the residents care needs as identified in the care plans, which gives them confidence that they will be cared for as they wish. EVIDENCE: The care plans, which were looked at, all showed the individual needs of the residents for personal care, health care, daily routines and activities. This makes sure that the residents receive the care that they need and want. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 12 The care plans are written and agreed with the residents. The residents and/or their families are involved in the review of the care plans with their named nurse and other professional staff. Named nurses and key workers are members of staff who have particular responsibility and interest in an individual resident. They make sure that they have all that they need and that they have their care and activities needs met. There are risk assessments in place where there may be a risk to the resident either in an activity or in the environment. This allows the staff and the resident to be aware of the possible risk and protects them whilst allowing the resident to continue with the activity. The daily records of the service users were looked at. These contained information, which confirmed that, where it is possible, the residents were making their own decisions about daily activities. The residents spoken with indicated that they were able to do what they wished to in their lives. There are regular meetings to discuss choices in the home such as activities and menus. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 14 12,13,15,16,17 (Adults 18-65). 10,12,13,15 (Older Persons) Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Wherever possible the staff make sure that the residents maintain their independence and support them in making decisions in all areas of their daily living, which allows them to have as good a quality of life as possible. EVIDENCE: There was evidence of suitable activites being provided for the residents, which were recorded in the residents files. These included the ‘Pat dog’ scheme, where a trained dog is brought into the home for the residents to spend time with. Music is provided through the radio and CD/tapes with occasional visits to the home by a singing group. A mobile ‘snoozulum’ system is well used in the home and can be moved from resident to resident. This gives the residents sensory stimulation, with music, coloured and fibre optic lights. The staff were seen to be spending time with residents, talking with them or in individual activity. An aromatherapist is available to give the residents treatment. The residents and the families spoken with said that they were happy with the amount of activity in the home. The residents who are able to, have choice of meals every day and the cook provides alternatives according to their needs. She has a good understanding of the dietary needs of the residents such as diabetic, soft and liquidised diets. She can also provide diets for people with different cultural needs. The inspector spent time with the residents whilst they were having their lunch and they all said that they were enjoying their meal and that they always had a choice of meals. There are many residents in the home who are unable to eat and are fed by a tube. Most of the residents are in the public areas of the home at some time during the day. This is helped by the provision of specially adapted chairs. This gives the residents a change from their bedrooms in a more normal environment. Visitors are made very welcome in the home. This was confirmed by visitors and families spoken with who told the inspector that they were made very welcome at any time. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 15 The inspector saw the welcome given to visitors when coming into the home which was warm and friendly. They are spoken with regularly on a one to one basis by the manager. The manager sees each of the residents on a one to one basis every day. There are regular quality audits to get the views of the residents and their families. These audits are also available in the reception area so that they can be completed whenever anyone would like to. The manager holds regular residents/relatives meetings, which have minutes taken. These practices make sure that the residents keep in contact with the community and their families and that views for improvements can be considered. There are regular visits from the clergy of all the residents faiths in the home and they are always made welcome. This makes sure that the pastoral care needs of the residents are met and that all faiths are provided for. The home works closely with the speech and language service to help communication with the residents and use items such as a voice activator. Whenever they had contact with a resident the staff were seen to be talking with them even when they were unable to communicate. With the residents whose first language was not English the staff were using signs and touch which the resident understood and appeared to be very happy with. Interpreters are used regularly to help these residents. A hairdresser visits once a fortnight and the residents told the inspector that they really enjoyed her coming. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 (Adults 18-65) 8,9,10(Older Persons) Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff are dedicated to the residents care needs as identified in the care plans, which gives the residents and their famlies confidence that they will be cared for as they wish. EVIDENCE: Care plans for the ‘case tracked residents had good individual information about the care being given to them. There are records of the involvement of G.P.s, chiropodist, dietician, speech London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 17 and language team and dentist in the files, showing that thorough health care is being provided for the residents. The residents and their families spoken with said that they could see the doctor and other health professionals when they needed to. The residents or their families had agreed with the care plans and had signed them. This was confirmed by the families spoken with who told the inspector that there were reviews of the care at least every six months, which they were invited to attend. This makes sure that the resident and/or their families are aware of the care to be given and that they agreed with it. The daily record of care is up to date which makes sure that the residents receive the right care and that the staff know what has happened to them during the day or night. The inspector saw the residents being treated with dignity and respect when staff spoke with them. The staff were observed sitting with the residents helping them with their lunch and sitting talking with them in the lounge area. Staff seen giving care did so in the right way, giving the residents privacy where needed. The staff spoke with residents who are unable to communicate whilst giving them care. All the staff seen with the residents showed empathy with and care, for them. Staff spoken with knew about the care needs of the residents and the residents and the families spoken with were very happy that all care needs were being met. There are risk assessments in place to cover all the identified risks for the residents. This makes sure that the residents and the staff are protected from any risks that have been identified, without restricting their activities. There were two signatures missing on the medication records, these medicines had been given, which was confirmed by the nurse on duty and was corrected at the time of the visit. The manager completes regular checks of the medicine charts to make sure that they are completed correctly. Medicines are given by the registered nurses in the home and they have training when they start work in the home and have regular updates to make sure that they are aware of the medicines that they are using. Medicines were administered individually and the residents were seen to be taking them or being given them through a feeding tube. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 18 The staff spoken with were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. The controlled (dangerous) drugs register was checked and found to be in order. The residents in this home are not able to look after their own medicines and they are all given by the staff. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 19 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23(Adults 18-65) 16,17, 18,35 (Older Persons). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy in place which gives the details of how to complain and who to complain to if they needed to. The complaints book was looked at and there is a record of eight complaints having been received since the last inspection on the 17th November 2005. These had all been resolved satisfactorily within the recommended time. No complaints had been received by the Commission for Social Care Inspection. The residents spoken with were happy that they would speak to the manager or a member of staff, if they had a problem and that it would be dealt with. Families and visitors spoken with on the day of the visit said that they were aware of the procedure to complain and would have no concerns about doing so. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 20 The staff spoken with knew how to deal with a complaint which was given to them and would be happy to do so. The staff spoken with were aware of ‘safeguarding adults’, the procedure to follow and would be prepared to ‘whistle blow’ if they thought that there was a need to. The staff that they had had training in safeguarding adults and this was confirmed by the training records held in the home. This makes sure that the residents are safe from any abuse and that any concerns are handled correctly. The home does not hold any personal spending money on behalf of any of any of the residents. This is managed by the families or solicitors. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 21 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 (Adults 18-65) 19,26 (Older Persons). Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents live in a home, which provides a well adapted, safe and pleasant environment. EVIDENCE: London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 22 The registration certificate from the Commission for Social Care Inspection (CSCI) was displayed in the reception, together with the CSCI report. There was also a current certificate of insurance displayed. London Road Care Home is situated on the main road on the outskirts of Leicester city centre. . There are lounges, dining rooms, a quiet room and a physiotherapy room. The home is very well maintained, clean and free from any unpleasant odours giving the residents a pleasant place to live in. The gardens and patio areas are very well kept and easy for the residents to get to in the better weather. The bathrooms are clean, tidy and free of any hazards. With their permission, the case tracked residents bedrooms were looked at by the inspector. They provided good accommodation, which had been personalised with the resident’s belongings. The bedrooms were clean and well maintained. Some of the bedrooms have en-suite facilities. All of the bedrooms now have modern electric beds,which improve the comfort of the residents. The communal areas of the home, including the bathrooms have been redecorated and had new equipment, such as assisted baths provided. There was evidence of a range of equipment such as hoists and mattresses having been provided to help in the care and comfort of the residents. There is an excellent infection control programme in place and air cleaning filter machines have been provided. The cleaning storage cupboards were locked and the staff spoken with confirmed that they had received COSHH (Contol of Substances Hazardous to Health) training. There had been a recent enviromental health visit, which had reported the home to be excellent in the areas that had been inspected. All the records for maintenance and fire records were looked at and found to be in order and up to date. There were no outstanding safety or maintenance issues seen on the tour of the premises. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 23 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 (Adult 18-65) 27, 28, 29, 30 (Older persons) Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents’ needs are well met and their safety protected by the recruitment policy and by the extensive training that is in place. EVIDENCE: There is evidence of a good skill mix of staff to make sure that the residents have the right care. The duty rota reflected the number of staff on duty. The residents, staff and visitors spoken with felt that there were always enough staff on duty to look after them properly. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 24 Four staff files were looked at by the inspector and the required information was complete in all the files. This included evidence of identification, adequately completed application forms, two written references and Criminal Records Bureau checks. There was evidence of extensive staff training including induction and the staff spoken with confirmed that they received regular training in all the required areas. They said that they had training in first aid, moving and handling, abuse, palliative care, diabetic care and ventilator and resuscitation training. There was a group of staff having fire training on the day of the visit. The records seen confirmed that the staff had received the above and further extensive training. There is a record of training held by the manager confirmed by individual certificates. The home has 50 of the staff with a National Vocational Qualifications(NVQ) in care at level two or above with six more about to start the course. The Manager who is a registered nurse with many years of experience has completed the registered managers award through the National vocational award programme. The National Vocational Qualification is a qualification for care staff to make sure that they receive the right training in the needs of the resident group whom they are caring for. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 25 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37-43 (Adults 18-65) 31-34, 37, 38 (Older Persons) Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is excellent communication between the provider, the manager, the staff, the residents, their families and other professional staff involved in the London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 26 care. This makes sure that the residents are able to live in a home that safely gives them the care that they need and want. EVIDENCE: The manager and the registered person were available throughout the visit to the home. They are both registered nurses with many years of experience. They have developed the specialist care practised in the home and are dedicated and committed to giving the residents the best possible care at this time of their lives. The staff receive excellent training to make sure that they can care for the residents safely whilst protecting them from any abuse. This was confirmed by available records, the manager and by staff spoken with. There was evidence of regular staff supervision taking place. This was contained in the staff files and confirmed by the staff spoken with. There is excellent communication between the manager and the staff who she sees frequently and gives excellent support to with the care of the residents. This was confirmed by all the staff spoken with and was observed by the inspector during the visit. The process of formal supervision time gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs. There are regular general meetings held with the staff to pass on and exchange information. The manager holds regular meetings with the residents and their families as well as one to one discussions both to pass information on and to listen to their views and opinions. There have been some difficulties for people to be able attend the meetings so a newsletter has been produced. This informs residents and their families about things going on in the home and invites them to make contributions to it. There are annual quality questionaires sent out to residents and their families to gain their views about the home. These are also available in the entrance hall for people to complte at any time that they wish to. These practices allow the manager and the responsible person to respond to the residents and the staff’s needs. The home does not hold any personal spending money on behalf of any of any of the residents. This is managed by the families or solicitors. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 27 Records for the maintenance of fire equipment, fire drills and training were found to be in place and up to date. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 28 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. Where there is no score against a standard it has not been looked at during this inspection. 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 4 2 4 3 4 4 3 5 4 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 4 25 3 26 3 27 4 28 3 29 4 30 4 STAFFING Standard No Score 31 3 32 4 33 4 34 3 35 4 36 4 CONDUCT AND MANAGEMENT Standard No Score 37 3 38 4 39 3 40 4 41 4 42 4 43 4 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 4 16 3 17 4 PERSONAL AND 4HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 29 Are there any outstanding requirements from the last inspection? None 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. Standard Regulation Requirement Timescale for action 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 London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. London Road Neurological and Specialist Care Unit DS0000001915.V344829.R01.S.doc Version 5.2 Page 31 - 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!