CARE HOME ADULTS 18-65
Margaret Riley House 4 Rosebery Avenue Blackpool Lancashire FY4 1LB Lead Inspector
Christopher Bond Unannounced Inspection 13th January 2006 04:30 Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 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 Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 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. Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Margaret Riley House Address 4 Rosebery Avenue Blackpool Lancashire FY4 1LB 01253 346814 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) Blackpool Society For Mentally Handicapped Children & Adults Mrs Phyllis Blackwood Jones Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 20th June 2005 Brief Description of the Service: This home is specifically used for respite care, which is the short term care of people who have a learning disability. Most of the people who use the service live with their parents or carers within the community. The home is registered for five people but there are rarely more than three people using the service at any one time. People generally stay overnight, for a weekend, or when their parents or carers are away on holiday. There are two single rooms and two shared rooms. The shared rooms are used by service users who wish to share and if the total number of people using the facility exceeds four. All the bedrooms are large and are well decorated, and the house has three day rooms where service users can congregate and socialise. The house is situated in a quiet residential area of Blackpool. There are shops within walking distance of the house, and Blackpool Pleasure Beach is also close by. There is a bus route into Blackpool town centre close by. Margaret Riley House is part of a group of four houses run by Mencap in the Blackpool area specifically for adults who have a learning disability. Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over 1.5 hours. The principal support worker for the home was spoken to as well as the registered manager for the home. Care records were examined along with staffing records. One guest was staying at the home at the time of the inspection. What the service does well: What has improved since the last inspection? What they could do better:
Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 Page 6 The respite service provided an important and valued service. All the National Minimum Standards have been achieved. 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. Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 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 Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: This section was not assessed during this inspection. Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 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 the following standard(s): 6, 7, 8, 9 and 10 Guests are involved in the running of the home and are asked to make decisions about their care. EVIDENCE: Each guest had his or her needs and wishes written down to ensure that their care remained constant each time that they visited the home. The records showed that each person had been assessed and their health and social requirements had been clearly recorded. This information was written down along with records of their stay. One person was using the service at the time of this inspection. The support worker that was on duty at the time of the inspection described how guests were actively encouraged to become involved with all aspects of life within the home. Risk assessments had been completed to ensure that acceptable risks were undertaken and recorded in order to help the guests’ development. All of the information within the home was handled and stored confidentially. Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 11, 12, 13, 14 and 17 Activities were creative, appropriate and enjoyed by the guests. EVIDENCE: Many activities were used both within the home and the local community. The carer described how people were asked about what they wished to do. Activities that were offered were appropriate and were chosen to assist the development of the guests. The guest who was staying at the home at the time was enjoying her evening meal. She said that the meals cooked were excellent. There was a menu that was generally adhered to but guests were able to choose what they wanted to eat. Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 Page 11 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 the following standard(s): EVIDENCE: This section was not assessed during this inspection. Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 22 and 23 Residents are protected by good abuse procedures. EVIDENCE: The complaints procedure was posted within the home to help guests and their representatives voice their concerns, should they wish to do so. Most of the care staff within the organisation had received training in the recognition of abuse. This helped to ensure that the residents were safer. Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 24, 25, 28 and 30. Guests live in a homely, safe, comfortable environment. EVIDENCE: Two of the rooms at Margaret Riley House were shared bedrooms. When the service was used by more than three people guests are expected to share a room. The shared rooms were large and are usually used by service users who know each other and enjoy sharing with a friend. It was rare that the home accommodated more than three guests at any one time. Margaret Riley House was found to be a pleasant and homely place. Bedrooms and communal areas were found to be large and suitable for their purpose. The house was very clean, hygienic, and free from any unpleasant smells. Guests were allowed to bring personal possessions with them to make them feel more at home during their stay. Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 and 35 The support worker for this service was competent, qualified and enthusiastic about her role. EVIDENCE: One support worker was generally responsible for the running of the respite service. She was very clear and confident about her role there and was aware of her responsibilities as a support worker. It was clear that she was enthusiastic in her job and had undertaken training (the Learning Disability Award Framework) to help her to do her job correctly. She had also recently achieved a recognised qualification in care (National Vocational Qualification). Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 and 43. The respite service was managed well. Residents were safer because of good practices within the home. EVIDENCE: The manager has achieved a National Vocational Qualification level 4 qualification in management and care. This means that she is fully qualified to manage the service. Since the last inspection the manager now has an office base to work from to carry out her managerial responsibilities and to ensure that information is handled confidentially. It was clear that the manager and the principal support worker acted upon the preferences and wishes of the people who used the service. Seven parents and carers were interviewed during the last inspection of this service and all were very complementary of the way the respite home was being run. Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 Page 16 Professional tradesman had been employed to check that the home was safe and well maintained. There had been training in health and safety issues. This made the home a safer place for guests to stay in. Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 Page 17 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 X 2 X 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 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X 3 X X 3 3 Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 Page 18 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. 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 Margaret Riley House DS0000009935.V277948.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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