Inspection on 11/05/05 for Manor Road (96)

This inspection was carried out on 11th May 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

Manor Road (96) 22/05/06

Manor Road (96) 03/11/05

Manor Road (96) 07/09/04

Manor Road (96) 16/04/04

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 96 Manor Road Wallasey Wirral CH44 1BZ Lead Inspector Beate Roth Unannounced 11 May 2005 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. 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 96 Manor Road Address Wallasey Wirral CH44 1BZ 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) 0151 639 0401 Metropolitan Borough of Wirral, Social Services Mrs Lynda Nelson PC Care Home 4 Category(ies) of LD Learning Disability - 4 registration, with number of places 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Only adults (aged 18-64 years) with a learning disability may be accommodated. Date of last inspection 7 September 2004 Brief Description of the Service: Manor Road is registered to accommodate 4 adults with a learning disability. Manor Road is a two storey, mid-terraced property, situated on a main road. On the ground floor there is a lounge, dining room, kitchen, bathroom and a laundry room. On the first floor there is a bathroom, a separate toilet and bedrooms. Each service user has a single bedroom. The home has a garden which has a seating area. Access to the front and back of the home is via a step. Parking is available on the main road. Manor Road is located within a half-mile of Liscard town centre. There is easy access to a bus service from the home. 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 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 four hours. During the inspection time was spent in the office examining records and policies and procedures. A tour of the home took place. One service user was spoken to. Two staff were spoken to. What the service does well: What has improved since the last inspection? What they could do better: A programme of planned maintenance and renewal for the fabric and decoration of the premises would ensure that a good standard of decoration is maintained throughout the home at all times. More of the homes policies and procedures should be made easier for service users to understand. 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 6 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. 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 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 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 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) 2. A full assessment would take place to ensure that a service user’s needs could be met. EVIDENCE: Although no new service users have come to live at the home in the last 10 years, the assessment paperwork that is available and the assessment process described by the manager at previous inspections, would ensure that a full assessment of a service users needs would be made. The current assessments of service users provide clear and full information. The records show that staff gather information from the service user, family, social workers and health workers to inform the assessment. 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 8 and 9. Care planning reflects the assessed and changing needs of service users. Service users are consulted with and encouraged to take part in life at the home. Service users’ need for independence is balanced with any risks to their well being. EVIDENCE: Information in the service user plans is detailed and easy to understand. The plans seen had had a recent review. The staff spoken to could clearly describe the needs of the service users and how to meet them. A member of staff spoken with was asked her opinion of the care given to service users at the home. This member of staff said, “the ladies are very happy here, they are well cared for.” Records show that service users are asked their opinion about the day to day running of the home at meetings and through questionnaires. In addition the staff spoken to said that they frequently ask the service users for their views. Records show that service users take part in the running of the home as their needs allow. A service user spoken to said that she is asked about what she would like to eat and about where she would like to go on holiday. This service user said that she helps to keep the home tidy. Some of the homes policies and procedures are suitable for the service users at the home. It continues to 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 10 be recommended that more of the homes policies and procedures be made easier for service users to understand. A sample of risk assessments indicated that service users’ needs are assessed and their need for independence is balanced with any risks to their wellbeing. 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15. Service users are able to take part in appropriate activities. Links with the local community are good and support service users social, educational and personal opportunities. EVIDENCE: Records show that service users attend adult training centres, go to college and take part in a range of leisure activities. A service user said that she enjoys the activities the home provides. Staff spoken to said that the activities have been chosen by the service users with staff support. The records show that service users take part in community life. Service users are supported to use local facilities such as shops and public transport. A service user said that she has opportunities to make friends with people who do not live at the home. Staff spoken to and records showed that family relationships are promoted. 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 20 The physical and emotional health needs of service users are met. Service users are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Records show that service users are supported to attend healthcare appointments and have access to health care services when they are needed. The medication procedure was seen and gives clear guidance to staff. All staff have received training in the home’s medication procedure and around the safe handling of medication. A sample of medication administration records and corresponding medication were inspected and found to be correctly maintained. Medication is stored securely. 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Staff training and policies and procedures are in place to ensure that service users views are listened to and acted upon and to ensure that service users are protected. EVIDENCE: There is a complaint procedure that is suited to the needs of service users with a learning disability. Staff reported that they elicit the views of service users. Information is available to enable a complaint to be made on behalf of a service user by an advocate. The complaint procedure describes the stages of the complaint and that the complainant will get an answer to their complaint within a maximum of 21 days. The staff were aware of the content of the complaint procedure and how to respond to complaints. The CSCI has not received any complaints about this service. An adult protection and a whistle blowing procedure are available. The whistle blowing procedure contains the contact details of CSCI. Two staff reported that they have had training around the protection of vulnerable adults. The home manages the personal allowance for one service user. The records of this were found to be accurately maintained. 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 The home is clean and provides a safe and comfortable environment for service users. EVIDENCE: A tour of the home and grounds showed that decorative work has taken place to improve the appearance of the home since the last inspection. Furniture and fittings are of a satisfactory quality. Since the last inspection some bedroom furnishings have been replaced. It continues to be recommended that when furnishings are replaced they are replaced with furnishings that have a lockable area. The kitchen needs some attention, the paintwork to the ceiling is patchy, the wallpaper has some cracks, there is a gap between the carpet runner and the start of the kitchen tiles. A member of staff said that there are plans to redecorate the kitchen. This was confirmed by the manager. The progress of this will be assessed at the next inspection. It continues to be recommended that the pipes in the downstairs bathroom be boxed in as this will improve the appearance of the bathroom. The manager has reported that these pipes do not become hot. 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 15 The manager reported that although a maintenance and renewal programme for the fabric and decoration of the premises is not in place action is being taken to address this. A sample of safety check records were looked at and found to be in order. 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 throughout the home. There are procedures for staff to refer to about hygiene. 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 and 33 There are sufficient numbers of staff to meet the needs of service users. Staff are competent to meet the service users needs. EVIDENCE: The staffing rota showed and a member of staff said that there are enough staff available to meet the needs of the service users. There is currently one staff vacancy that has been advertised. Relief staff and the current staff team cover staff vacancies and absences. A member of staff said the same relief staff are employed who know the service users and how the home works. Records and a discussion with staff showed a team meeting had been held recently. Training records and staff indicated that training is provided to ensure service users are being cared for properly and that their needs are being met in accordance with current good practice. Work is taking place to make sure that further staff have the opportunity to obtain an NVQ in care of adults with learning disabilities. 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 17 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) 38 and 42 The management approach of the home creates an open and inclusive atmosphere that is beneficial for service users. The health and safety of service users is promoted. EVIDENCE: Records show that staff meetings are held on a regular basis. A member of staff reported that the manager asks the staff about their views on the running of the home. A member of staff reported that there is clear communication between staff and from the manager to staff. Service user meetings are also held regularly. A service user said that she is asked about her views on matters affecting day-to-day life at the home. An equal opportunities policy is available. 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 18 The records of fire safety checks were in order. Both staff and training records indicated that staff are given appropriate training in safe working practices. 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 19 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 x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 2 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x 3 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 96 Manor Road Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x x x 3 x F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 20 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 24 Regulation 23 Requirement The registered person must ensure that attention is given to the decorative and maintenance work needed in the kitchen. Timescale for action 11/08/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 8 24 Good Practice Recommendations More of the homes policies and procedures should be made easier for service users to understand. A planned maintenance and renewal programme for the fabric and decoration of the premises should be in place in order to ensure that a satisfactory standard is maintained in these areas. It is recommended that the pipes in the bathroom downstairs be boxed in as this will improve the appearance of the bathroom. It is recommended that when bedroom furnishings are replaced an item of furniture with a lockable area is provided for each service user. 3. 4. 24 24 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 3rd Floor 10 Duke Street Liverpool L1 5AS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 96 Manor Road F52 F02 S000035511 96 Manor Road V228194 110505 Stage 4.doc Version 1.30 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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