Inspection on 30/09/05 for Mr Brian Hall

This inspection was carried out on 30th September 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

Mr Brian Hall 03/03/06

Mr Brian Hall 18/01/05

Mr Brian Hall 31/08/04

Mr Brian Hall 09/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Mr Brian Hall 1 Ratcliffe Road Hobs Moat Solihull B91 2JA Lead Inspector Brian Reamsbottom Unannounced 30 September 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. Mr Brian Hall E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Mr Brian Hall Address 1 Ratcliffe Road Hobs Moat Solihull West Midlands B91 2JA 0121 704 1095 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) Mr Brian Hall Mr Brian Hall Care Home 1 Category(ies) of Younger Adults, Learning Disability registration, with number of places Mr Brian Hall E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18 January 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 E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The service user answered the door, he shook the Inspector by the hand and showed him into the lounge. The home was inspected unannounced 09.50 to 12.00. Records of the service user were inspected. The service user was included in the inspection process. Thank you to the service user and provider for their welcome and hospitality during the 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 E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Mr Brian Hall E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 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 standard(s) 5 The service user has a contract and a written Statement of Terms and Conditions. EVIDENCE: The service user has lived at the home for the past twelve years. The service user’s needs and wishes are well known to the provider. Mr Hall said, “If the termination of the present placement for what ever reason takes place I will not be offering other placements.” Mr Brian Hall E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8, 9 The care plan had sufficient detail on how the individual needs of the service user were to be met and strategies for managing risks were clearly identified. EVIDENCE: The service user’s care plan is reviewed and updated as needs change. The service user is very involved in his care plan. He is vocal and well able to express his needs and wishes. The service user is able to do all his personal care with the minimum of assistance from the provider. The service user makes decisions in his daily life. He comes and goes as he wishes, decides what he wants to do on a daily basis. This was confirmed on talking with the service user. The service user is very much treated as part of the family. The service user and the provider share the running of the home. The daily chores are negotiated between them. There is a risk assessment in place. The service user is aware that he could be at risk in and out of the home. This is discussed on a regular basis. When he is out on his own in the community he carries his home telephone number. Mr Brian Hall E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 Page 9 Standard 9 The recommendation of the last inspection has been implemented. Mr Brian Hall E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 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 standard(s) 13, 14, 15, 16, 17 The service user has access to a range of opportunities to afford him a meaningful lifestyle. Dietary needs of the service user are catered for with a balanced and varied selection of food available that meets the service user’s tastes and choices. EVIDENCE: The service user is very much part of the local community. He makes use of the local shops, pubs and restaurants. The service user says that he does not like large numbers of people. He went on to say that he had attended a day centre in the past. He did not like it as he felt he was ‘a number’ and not treated as an individual. He told the Inspector that he enjoys doing jigsaws, word puzzles and watching cookery programmes. He has a ‘befriender’ who takes him out and access to an independent advocate. Mr Brian Hall E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 Page 11 The service user and provider have regular holidays and outings together. This year they went in Bruges in Belgium on holiday. They both enjoy days out, for example, to garden centres. The food on offer is varied. The service user prefers spicy food, for example, chicken balti and lamb curry. This was confirmed in talking with the service user. Mr Brian Hall E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 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, 20 The medication management is good ensuring service users receive medication as prescribed. EVIDENCE: The service user’s health care needs are attended to, and records of appointments and outcomes are maintained in the service user’s file. The service user attends the ‘well man’ clinic for health check ups. He attends his GP for blood pressure tests. He sees the dentist and optician as required. The service user only takes one tablet daily. This is given to him by the provider and is recorded on the medication administration record (MAR) sheet. Standard 20 The requirement at the last inspection has been implemented. Mr Brian Hall E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 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, 23 The complaints and adult protection procedures available ensure that service users are protected from harm. EVIDENCE: The service user is aware that he can complain if he is not satisfied with the service that he receives or any form of abuse. This he would do through his advocate. The Commission for Social Care Inspection have not received any complaints from the home or any other source since the last inspection. The adult protection is in the spirit of Solihull’s Adult Protection Procedures. Mr Brian Hall E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 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, 29, 30 The home was clean, warm and fit for its purpose and provides the service user with a safe, homely and comfortable environment EVIDENCE: A tour of the home did not take place at this inspection. The lounge was comfortable and had a homely feel to it. There was a large television, video and music system, which the service user makes use of. The service user told the Inspector that he has his own television and video in his bedroom. The service user does not need specialist equipment at this time to meet his needs. The home was decorated and furnished to a good standard. It was free from offensive odours. Mr Brian Hall E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 Page 15 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) None EVIDENCE: Standards 31 to 36 are not applicable. There are no staff employed in the home. Mr Brian Hall E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 Page 16 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) 37, 42 The home is well managed to promote the health and safety of the service user. EVIDENCE: 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 provider and service user. The gas and electrical equipment are serviced regularly. Small electrical appliances are tested annually. Mr Brian Hall E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score N/A N/A N/A N/A 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x 3 3 Standard No 11 12 13 14 15 16 17 x x 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mr Brian Hall Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 Page 18 No 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 Regulation None 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. Refer to Standard None Good Practice Recommendations Mr Brian Hall E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Birmingham & Solihull Local 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 E54 S4548 Mr Brian Hall (Ratcliffe Rd) V240728 300905 Stage 4.doc Version 1.40 Page 20 - 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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