Inspection on 13/02/07 for Manor Place (60)

This inspection was carried out on 13th February 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Manor Place (60) 16/01/06

Manor Place (60) 13/06/05

Manor Place (60) 07/03/05

Manor Place (60) 28/09/04

Manor Place (60) 26/01/04

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 Manor Place (60) 60 Manor Place Bromborough Wirral CH62 4TX Lead Inspector Debbie Corcoran Unannounced Inspection 13th February 2007 2:30 Manor Place (60) DS0000018994.V319176.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 Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Place (60) Address 60 Manor Place Bromborough Wirral CH62 4TX 0151 645 5761 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) Wirral Autistic Society Mrs Helen Louise Rudd Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th January 2006 Brief Description of the Service: 60 Manor Place is a permanent community home for service users with Autistic Spectrum Disorder, and accommodates two service users. The house is a semi-detached two storey property, with single bedrooms and a shared bathroom. The staff office doubles up as a sleepover room. The house has a large garden / orchard that is fully accessible to both service users. The home is situated in a residential area in Bromborough Pool Village. Local amenities include a sports centre and leisure facilities, transport, public houses, entertainment complexes and various shops. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During the visit both of the residents were met and spoken with. The home manager and a member of the staff team were also spoken with. A number of records were looked at including resident’s records, staff files, staff training records and health and safety records. A tour of the home was carried out. The manager returned a questionnaire on the service to the Commission and some of the information contained in this has been used to inform the findings of the inspection. What the service does well: The service is provided to meet the needs of people who have autism and as such all routines, activities and planning are thought through with the specific needs of the service users in mind. Each of the service users has a plan of care. The information in the plans is specific to the needs of the service users. For example there may be clear guidelines on how to support one of the service users with situations which they find difficult. Service users are supported to use local facilities and public transport on a regular basis. There is a clear emphasis on the service users using and developing their independent living skills. Service users gave many examples of how they are making choices about their lifestyle and making choices in the running of the home. The service users are well supported to remain healthy and staff are supporting the service users to attend health appointments on a regular basis. Staff also support the service users with their emotional needs. The staff team is small and all staff have worked at the home for a number of years. They have therefore had the opportunity to form relationships with the service users and to get to know the service users well. The home is nicely presented, well maintained, clean and safe. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Information on the services and facilities at the home was not available. Although not practically assessed, systems are in place for ensuring an assessment of needs is carried out for new service users before admission to the home. EVIDENCE: A copy of the home’s statement of purpose and service user guide was not available at the time of the visit. The manager reported that these documents do exist but they were located in another office off site. One of the service users showed a dvd on the history and current services offered by Wirral Autistic Society as an organisation and this was very informative. Standard 2 is a key standard to be assessed however, there have been no new service users to the home for a number of years and it therefore could not be practically assessed. Wirral Autistic Society do have assessment documents to be used when a person has been identified to move to the home. The manager was able to provide a good level of information on the referral, assessment and introductory procedures which would be put into action for any new service user. This included describing the assessment process, the inclusion of the prospective service user and where appropriate their representative, the referring agency and any specialist input. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each of the service users has a care plan and these are generally of a satisfactory standard. Service users are encouraged and supported to make their own decisions and to participate in the decision making in the home. When a service user is involved in an activity which involves taking risks then the risk is assessed and plans are put in place to manage the risk. Service user’s confidentiality is protected by the arrangements for storing information. EVIDENCE: Each of the service users has a care plan / support plan. These are referred to as a ‘review’ and this can be misleading. The plans include information on the service user’s, likes and dislikes, skills and needs, health, and includes a plan which identifies targets for their development. When appropriate, guidelines for supporting the service users with particular challenges or needs are Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 10 included in the individual’s plan. Service users have a full review of their support every 6 months. Where a service user is involved in activities which pose a risk to their safety then a risk assessment is carried out. The risk assessments cover different aspects of the persons support. The risk assessments include information on what the potential risk is and what steps need to be taken to prevent the risk from occurring. Risk assessments are reviewed regularly and updated accordingly. The manager reported that risk assessments are in place for both service users. The risk assessment for one of the service users was not in their records. The manager reported that this was because it was being updated. The service users are encouraged to make choices as to the running of the home and are making their own decisions as to their daily support. Service users have meetings with staff about the home. During discussions with service users they confirmed that they are using and developing their independent living skills. This was further evidence of this in the service users daily records. Examples of this are that service users are encouraged and supported to carry out housework tasks, to prepare a shopping list and do the weekly shopping, to prepare and cook meals on a regular basis. All personal and confidential information is stored appropriately and staff are aware of their responsibilities in this area. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to develop their independent living skills, to develop and maintain relationships and to be involved in local community activities. Service users are encouraged to choose a healthy and well balanced diet. EVIDENCE: From discussions with the service users and staff, and through direct observations and records it is clear that the service users are well supported in using and developing their independent living skills. For example service users are supported to shop, cook, and manage their own matters where possible. The service users reported being happy with the support provided. During discussions service users described a lifestyle of going out socially on a regular basis and having a clear weekly routine of leisure and educational activities and using local community resources on a regular basis. Relationships are encouraged and this was confirmed during discussions with the service users. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 12 Service users are encouraged to develop and maintain relationships in day centres, social groups and in using community facilities. Service users and staff have regular ‘house meetings’ to discuss the running of the home. In assessing the diet and meals available to service users menu records were examined, service user and staff feedback was sought and the storage and availability of food at the home was checked. The service users reported to be happy with their meals, they choose their meals and are supported to prepare and cook their meals. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are well supported with their health care needs and with their emotional well being. Medication is managed appropriately. EVIDENCE: Service users care plans include information as to how to support the person with their physical, emotional and personal care needs. Service users are well supported to attend health related appointments. The service users are supported with healthy living and exercise and are supported to maintain a healthy balanced diet. Medication records and storage were checked. These were found to be appropriate. Staff have been provided with medication training and medication policies and procedures are in place. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A number of policies, procedures and practices are in place for dealing with complaints and for aiming to protect service users against abuse or neglect. However, staff are not trained in protecting service users from abuse. EVIDENCE: The home has a complaints procedure which is time scaled appropriately and includes contact details for the Commission. Service user know how to make a complaint and said that they would discuss anything they were not happy about with staff. There have been no complaints or adult protection issues at the home. The manager was unable to locate the home’s policy and procedure for adult protection. There was a copy of Wirral Social Services procedures and a copy of the protection of vulnerable adults procedures. The home should have an adult protection procedure which gives staff clear guidance and instruction for responding to an allegation of abuse and identifies their roles and responsibilities in this. The manager has been provided with training in adult protection but none of the care staff team have been provided with this. The system for accounting for residents monies was checked. The information kept in the home does not account for all of the residents monies. The manager reported that additional records are kept at another office. The manager must review this to ensure that there is a clear auditable record of Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 15 service users monies at the home. The manager reported that the finance department do spot checks on the service users money. It is recommended that an in house audit is carried out on a regular basis in addition to this. A record of key events is maintained for example incident reports and accident reports. These were checked and found to be appropriate and no raised no particular issues. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is a small domestic property which provides a well presented, well maintained, safe and clean environment to service users. Each service user has their own room and these are personalised. Health and safety precautions are taken to protect service users and staff. EVIDENCE: The home is in keeping with others in the area and is an ordinary domestic property. The home provides adequate space and there are gardens areas both at the front and rear. There is one lounge area and a dinning area. The presentation of the home is good and all areas were found to be well maintained. Décor, furniture and fittings were all of a good standard. Each of the service users has their own room. One of these was seen and was found to be personalised with the service user’s own belongings. The home has health and safety practices and procedures which are aimed at ensuring the home is safe and clean and as free from hazards to the health and safety of service users and staff. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are supported by a well established staff team who have been provided with a good level of training. EVIDENCE: During discussions with the service user they gave good feedback on the staff team. Staff are supporting the aims and objectives of the home in encouraging service users to make choices, develop their independent living skills and use their local community. The staff team is small and well established. The 3 members of care staff on the team have worked at the home for a period of between 3 years and 8 years. There have been no new recruits for over 3 years and therefore recruitment practices were not assessed on this occasion. However, the manager was informed that evidence of staff recruitment should be maintained at the home. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 18 Staff have been provided with good training opportunities. Training records indicated that staff have been provided with training in topics such as; as first aid, moving and handling, supporting people who have autism, communicating with people who have autism, equal opportunities and behaviour management. One out of the three members of staff on the team have attained a National Vocational Qualification (N.V.Q) in care and an additional member of staff was reported to be close to completing this. Staff meetings take place on a regular basis and the minutes of these confirmed that staff are communicating well on how to most effectively meet the needs of the service users. Staff are not being provided with regular one to one supervision meetings. Staff should have the opportunity of these meetings six times per year to meet the national minimum standards. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and is run in the best interests of the service users. Procedures, practices and checks are in place which aim to safeguard and protect the health and safety and well being of service users and staff. EVIDENCE: The home has a new registered manager. The manager has worked for Wirral Autistic Society for over 23 years. The manager reported that she is near completion of an National Vocational Qualification (N.V.Q) level 4 qualification. The manager reported that the home is visited on an unannounced basis once per month by a representative of the organisation as a quality check. A record of these visits was available for inspection. Residents have been surveyed on the quality of the service in the past but have not had the opportunity of this Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 20 for some time. It is recommended that this practice is reintroduced as part of the home’s quality assurance check. The home has numerous policies and procedures in relation to the health and safety of service users and staff and staff are provided with training in core health and safety related skills. Fire safety and health and safety practices are adopted. Records of fire and health and safety checks were checked and found to be up to date. The water temperature was checked in the bathroom. This was found to be too high and the temperature did not match the temperatures recorded by staff. The manager must address this and ensure that the temperature is controlled as close as possible to 43 c and that staff check and record this accurately. Risk assessments are in place for safe working practices and these are regularly reviewed. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 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 Standard No Score 1 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X X 3 Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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 YA9 Regulation 13 (4) Requirement Timescale for action 13/04/07 2. YA23 13 (6) 3. YA34 17 (2) schedule 2 The registered person must ensure that risk assessments are in place with regard to the care and support of each service user. The registered person must 13/05/07 ensure that staff are provided with training in adult protection. Adult protection policies and procedures must be readily available at all times. 13/05/07 The registered person must ensure that appropriate evidence of the staff recruitment and selection procedures are available at the home. 13/06/07 4. YA36 18 (2) 5. YA43 The registered person must ensure that staff are provided with regular and recorded supervision. 13 (4) ( c) The registered person shall ensure that water temperatures are checked regularly and maintain a record of this. 13/03/07 Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 23 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 YA39 YA41 Good Practice Recommendations The manager should survey service users on the quality of care and support provided at the home. The manager should introduce a new system for recording service users monies and for auditing monies on a regular basis. Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Manor Place (60) DS0000018994.V319176.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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