CARE HOME ADULTS 18-65
Mr Brian Hall 1 Ratcliffe Road Hobs Moat Solihull West Midlands B91 2JA Lead Inspector
Brian Reamsbottom Unannounced Inspection 3rd March 2006 09:20 Mr Brian Hall DS0000004548.V285158.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 Mr Brian Hall DS0000004548.V285158.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. Mr Brian Hall DS0000004548.V285158.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Mr Brian Hall Address 1 Ratcliffe Road Hobs Moat Solihull West Midlands B91 2JA 0121 704 1095 0121 704 1095 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) Mr Brian Hall Mr Brian Hall Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Mr Brian Hall DS0000004548.V285158.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 30th September 2005 Brief Description of the Service: Brian Hall provides care for one resident with learning disabilities. He has provided a service to the same resident for a number of years. The accommodation is a modern 2 bedroomed house with one bathroom on the first floor. There are gardens to the front and back of the home, which are well maintained, and there is parking on the driveway or the road in front of the house. The lounge is open plan and has a good standard of furnishings and fittings. Dining facilities are situated at the far end of the lounge (back of the house) and look out onto the garden. There is a small conservatory, which is built onto the kitchen area, which can be used for smoking for either the resident or visitors. Mr Brian Hall DS0000004548.V285158.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This report must be read in conjunction with the inspection report of 30 September 2005. The home was inspected unannounced 09.20 to 11.00. The service user was involved throughout the inspection process, without his co-operation and input, this report would not be possible. The inspector thanks the service user and provider for their welcome and hospitality at this inspection. What the service does well: 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. Mr Brian Hall DS0000004548.V285158.R01.S.doc Version 5.1 Page 6 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 Mr Brian Hall DS0000004548.V285158.R01.S.doc Version 5.1 Page 7 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): 2 The home has information available to enable prospective service users to make an informed decision about living in the home. EVIDENCE: Standard 5 was met at the inspection of 30 September 2005 and was not inspected at this visit. A reviewing officer has reviewed the needs of the service users on 1 August 2005. This was not available at the last inspection. The service user told the inspector that he was fully involved with the review and is satisfied with the contents of the resulting report. Mr Brian Hall DS0000004548.V285158.R01.S.doc Version 5.1 Page 8 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 The care plan had sufficient detail on how the individual needs of the service user EVIDENCE: Standards 6,7,8 and 9 were met at the inspection of 30 September 2005 and were not inspected at this visit. The service user told the inspector that he is fully involved with his care plan with the provider. He went on to say, “That I make all the decisions in my life, if I need help I ask the provider.” Mr Brian Hall DS0000004548.V285158.R01.S.doc Version 5.1 Page 9 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): 12 The service user has access to a range of opportunities to afford him a meaningful lifestyle. EVIDENCE: Standards 13, 14, 15, 16, and 17 were met at the inspection of 30 September 2005 and were not inspected at this visit. The service user told the inspector that he still enjoys going out on his own to the local pub. Trips out by car are still a popular activity, with the service user and provider visiting place of interest, to them both. The provider told the inspector that he is awaiting delivery of a new car. They are planning a holiday for five days to Newquay, Devon. It was pleasing to see the service user had grown in confidence. He spoke with the inspector in a relaxed manner and voiced his views and opinions on daily living and leisure activities. He was able to say ‘No’ if he disagrees with something said or a statement made. Mr Brian Hall DS0000004548.V285158.R01.S.doc Version 5.1 Page 10 The relationship between the provider and service user is one of mutual respect and dignity. Mr Brian Hall DS0000004548.V285158.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): 18 Systems are in place to ensure that the service user receive the care he needs. EVIDENCE: Standards 19 and 20 were met at the inspection of 30 September 2005 and were not inspected at this visit. The service users told the inspector that he is capable of seeing to his own personal care needs. He went on to say that the provider gives minimal support, for example, by giving prompts to remind him to carry out some tasks. Mr Brian Hall DS0000004548.V285158.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): X The complaints and adult protection procedures available ensure that service users are protected from harm. EVIDENCE: Standards 22 and 23 were met at the inspection of 30 September 2005 and were not inspected at this visit. The service user was able to demonstrate how he would make a complaint. He said, “That he would involve his ‘befriender’ if he needed to.” Mr Brian Hall DS0000004548.V285158.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): 28 The home is very much the service user’s. EVIDENCE: Standards 24,29, and 30 were met at the inspection of 30 September 2005 and were not inspected at this visit. The inspector met with the service user and provider in the lounge. The room was warm, comfortable, well furnished and decorated. The service user said, “That he uses the lounge and moves about the house freely.” “ I am very happy with my home.” The garden is well laid out maintained and used well during clement weather. Mr Brian Hall DS0000004548.V285158.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): N/A EVIDENCE: Standards 31 to 36 are not applicable as there are no staff employed at the home. Mr Brian Hall DS0000004548.V285158.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): X The home is well managed to promote the health and safety of the service user. EVIDENCE: Standards 37 and 42 were met at the inspection of 30 September 2005 and were not inspected at this visit. The home is run with the minimum of restrictions on the life of the service user. The management of the home is a partnership with the service user and provider. Mr Brian Hall DS0000004548.V285158.R01.S.doc Version 5.1 Page 16 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 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 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 4 29 X 30 X STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 X 12 4 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X 4 X X X X X X Mr Brian Hall DS0000004548.V285158.R01.S.doc Version 5.1 Page 17 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 Mr Brian Hall DS0000004548.V285158.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Mr Brian Hall DS0000004548.V285158.R01.S.doc Version 5.1 Page 19 - 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!