Inspection on 26/01/07 for Margaret Riley House

This inspection was carried out on 26th January 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 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

Margaret Riley House 23/01/09

Margaret Riley House 13/01/06

Margaret Riley House 20/06/05

Margaret Riley House 14/02/05

Margaret Riley House 29/06/04

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 Margaret Riley House 4 Rosebery Avenue Blackpool Lancashire FY4 1LB Lead Inspector Christopher Bond Unannounced Inspection 26th January 2007 04:00 Margaret Riley House DS0000009935.V324170.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 Margaret Riley House DS0000009935.V324170.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. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 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.V324170.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th January 2006 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 is one single room 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 two lounges where service users can congregate and socialise. There is a dining room to the rear of the house and a bathroom area on the ground floor. 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 close by. There is a bus route into Blackpool town centre, which leaves from nearby. Margaret Riley House is part of a group of three houses run by Blackpool Society for Mentally Handicapped Children and Adults in the Blackpool area specifically for adults who have a learning disability. Information relating to the home’s Service User Guide and Statement of Purpose is included in the welcome pack, which is given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, (26/01/07) the information given to the Commission showed that the fees for respite care at the home are £9.24 per night. The local authority pays £246.65 per week towards the cost of service users staying at Margaret Riley House. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over a total of 2.5 hours. A tour of the home included bedrooms, lounge and dining areas, and bathrooms. All areas were clean and hygienic. The residents’ personal files and care plans were examined. Safety certificates for the home were also examined. Three service users were spoken to during this inspection. A number of care surveys were returned from the people who use the home and their parents/ carers. What the service does well: What has improved since the last inspection? There have been new quilts and bedding purchased for the home. This has made the home a nicer place to stay. There have been several training events since the home was last inspected. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 6 This means that the care staff are more skilled to provide a quality service for the people who use it. 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. Margaret Riley House DS0000009935.V324170.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 Margaret Riley House DS0000009935.V324170.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): Standards 1, 2 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Written information is provided to prospective service users and their families, enabling them to make an informed decision about whether or not the home is right for them. Good admittance procedures and careful assessment helps to ensure that the service can meet people’s needs. EVIDENCE: There is information available about the respite service at Margaret Riley House and this is given to service users and their families or carers. This means that people have a good idea about what the service offers before they make a decision about whether they would like to use it. The manager and the senior carer make sure that they have plenty of information about service users before they come to stay at the home so that they can attend to their needs appropriately. This information was held in the service users’ personal files within the home. Some of the service users had assessments and information completed by their social worker. One of the service users who was staying at the home at the time of the inspection described how she and her family were able to look round the Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 9 home. This is important because a decision could be made as to whether or not the service met her needs. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, 8 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users were in control of what happened to them during their stay and were consulted about all aspects of their care. This meant that they were fully involved in their care and support. EVIDENCE: There was some good information kept regarding the needs of each service user and what they did during their stay. This was updated after each visit. Such information is important because it helps the home to provide a constant standard of care and enables different carers to have the same information, which helps to ensure continuity. Three people were staying at the home during this inspection. All three service users had met with the senior support worker on their arrival and had decided what activities they would like to take part in over the forthcoming weekend. This was a consensus and the service users made the decision. The service users decided which room they would like to use and were in control of most of the things that happened during their stay. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 11 The service users were also involved in many household tasks, such as preparing meals, setting the table, washing up and ensuring the house was tidy. This is important because their skills and abilities were being maintained and developed. As part of their visit to Margaret Riley House service users are able to enjoy activities in the local community with the support of the senior community support worker. Each activity had been risk assessed to ensure that no unnecessary hazards were faced. A certain, controlled amount of risk is necessary to ensure that people enjoy activities fully and can benefit from resources that may help them to develop their skills and abilities. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are given the opportunity to use community facilities and resources to ensure community participation and widen their experiences. Family and friends are encouraged to visit to maintain valuable relationships. EVIDENCE: It was clear that all three service users who were staying at the service were able to be involved in all aspects of the running of the home. One of the service users commented, “This is a great place, I love it here.” Two people had been shopping and had helped to choose what they wanted for their evening meal. The meal looked wholesome and appetising. They had planned their evening out to a social club. Some of the people who stayed at the service had family who had gone on holiday. Their stay at the home was ‘their holiday’. The senior support worker spoke of the need to make their stay as enjoyable as possible and one person had invited friends to visit during their stay. There was a strong emphasis on Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 13 using the resources available in the community such as bowling, swimming, restaurants, social clubs, shopping and trips to the cinema. There were activities available within the home, such as games, DVD’s, and television for if the weather was bad or people wanted to stay in. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were treated with respect and dignity and their individual needs were being met appropriately. EVIDENCE: Only one person who used this service was in need of help with their personal care. The file of this person was looked at and there was detailed information available as to the their needs and abilities. No specialist equipment was yet needed to ensure that the person could continue to use the service. The senior community support worker confirmed that such equipment would be made available if this persons needs became greater. All three of the service users who were staying at the service at the time of the inspection looked happy and relaxed. They communicated their thoughts about the home confidently and spoke highly of their support. There was an excellent relationship between the support worker and the service users. It was observed that she spoke to them with respect and they placed great trust in her. This is important because it shows that people were being treated properly and courteously. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 15 Some of the people who used Margaret Riley House had been prescribed medication and this had to be brought with them from home. This was stored safely and good records were kept of administration. It would be good practice to ensure that all those who were being helped with their medication had a photograph attached to their records to ensure that safety was maintained at all times. There were some good policies and procedures in the home regarding the safe administration of medication to help ensure that the care staff had guidance at all times. The manager was contactable on an ‘on-call’ basis to provide advice and support for care staff working within the service. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 16 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): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Residents are protected by robust safeguarding procedures. EVIDENCE: The complaints procedure was on display in the hallway of Margaret Riley house and the three service users who were spoken to were confident that their concerns would be dealt with properly, should there be any. Because of the excellent relationship between the senior community support worker and the service users worries were dealt with promptly and appropriately before they developed into concerns or complaints. There was a thorough policy in place with good guidelines of what to do to ensure that the service users remained safe and secure. The organisation had provided training for its staff regarding safeguarding individuals who use the service. This is important because it helps to ensure that the care staff work safely and properly when supporting vulnerable people. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 17 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): Standards 24, 26, and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The house was homely, comfortable and safe. The service users lived in a clean and pleasant environment. EVIDENCE: This was a very homely environment. It was a cold evening and the house was warm and inviting. All of the rooms were large and were decorated to a high standard. The whole house was well maintained and small maintenance tasks were dealt with quickly so as not to inconvenience the service users too much. Maintenance was being carried out on parts of the home during the inspection and this was being done considerately and respectfully. The senior community support worker confirmed that the service users were encouraged to bring in personal possessions to make their stay more comfortable. There were lots of these around the house. One person had brought a selection of DVD’s with them. One person described the house and her room as “lovely”. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 18 All the bedrooms were large and well decorated, and the house had two lounges where service users could congregate and socialise. There was a dining room to the rear of the house and a bathroom area on the first floor. The whole house was exceptionally clean. The senior community support worker said that she encouraged guests to be involved in helping to keep the house clean and smelling fresh. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 19 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): Standards 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good recruitment practices meant that residents were safer. Staff were well supported which meant that they were encouraged to do their jobs properly and efficiently. EVIDENCE: Care staff numbers for this service were sufficient enough to ensure that the assessed needs of the service users were being attended to properly. There was one carer on duty at the time of the inspection and three people were staying at the home. The senior community support worker confirmed that there had been several training events recently. These events included fire safety, abuse awareness; person centred planning, and medication awareness. This meant that that the care staff were better prepared to do their work properly. Most of the support workers within the organisation had achieved a nationally recognised care qualification (National Vocational Qualification level 2 or 3). This is important because this qualification helps to ensure that the care staff Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 20 have the necessary skills to provide care for adults who have a learning disability. Records showed that care staff were being supervised properly and regularly. This one-to-one support showed that care staff were valued, and encouraged to do their jobs properly and efficiently. Staff records showed that new carers had been properly checked before starting their jobs, including obtaining Criminal Records Bureau disclosures. This helped to make sure that the residents were safer by ensuring that suitable staff are employed. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 21 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): Standards 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are protected and safeguarded by good management practice, good safety training and a well maintained home. EVIDENCE: Good records were being kept of safety checks within the home. These showed that professionals were checking the electric and gas equipment and the fire alarm system regularly. This helped to ensure that the service users stayed in a safe home. The senior community support worker spoke of the good support that she had received from the manager of the service. There were clear and precise policies and procedures for this home. The manager had a good rapport with the parents and carers of the people who used the service, which created a Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 22 trusting relationship. Survey questionnaires received from parents and carers were complementary of the service on offer. There had been several training courses regarding ensuring that the home is run safely. The senior community support worker had been on food hygiene training and a lot of work had been done to ensure that fire safety within the home was of primary importance. A fire risk assessment was available and there were regular fire drills. There was a need to ensure that all of the care staff that work within the Mencap group have had regular updates in their knowledge of how to move people correctly, safely and appropriately. The senior community support worker had not had he skills updated for some time. Regular training in safety areas means that the service protects its service users and care staff have more skills in this area. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 23 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 3 2 3 3 3 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 4 25 X 26 3 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 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 3 X Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 24 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. 1 2 Refer to Standard YA20 YA42 Good Practice Recommendations Medication records should contain a photograph of the individual service user. All care staff should receive regularly updated training regarding moving service users safely and correctly. Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Margaret Riley House DS0000009935.V324170.R01.S.doc Version 5.2 Page 26 - 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!