This inspection was carried out on 20th February 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
CARE HOME ADULTS 18-65
New Hutte Lane, 9 9 New Hutte Lane Halewood Liverpool Merseyside L26 9UD Lead Inspector
Mrs Joanne Revie Unannounced Inspection 20th February 2006 10:00 New Hutte Lane, 9 DS0000021495.V283684.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 New Hutte Lane, 9 DS0000021495.V283684.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. New Hutte Lane, 9 DS0000021495.V283684.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service New Hutte Lane, 9 Address 9 New Hutte Lane Halewood Liverpool Merseyside L26 9UD 0151 291 9139 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) Brothers of Charity Mr John Colin Neary Care Home 3 Category(ies) of Learning disability (3) registration, with number of places New Hutte Lane, 9 DS0000021495.V283684.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Service Users to Include up to 3 (LD) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection Brief Description of the Service: 9 New Hutte Lane is a three-bedded detached bungalow, which is situated in the Halewood area of Liverpool. Alternative Housing owns the property and the service is provided by the Brothers of Charity. The service provides personal care and support to three services users who have severe learning disabilities. All three service users moved to the home following the closure of a long-term institution some time ago. The home has a garden, which is adapted for Service Users who have physical disabilities, and a purpose adapted mini bus is available for outings and appointments. New Hutte Lane, 9 DS0000021495.V283684.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The purpose of this visit was to focus on the remaining core standards, which were not assessed during the visit last July. Therefore the reader should read both reports for a full overview of the service. On the day of the visit one service user was at home. The other two were attending a local day centre. Due to communication difficulties, discussions were only held with the manager. A variety of documentation was viewed which will be referred to in the evidence section of the report. The visit lasted two hours. What the service does well: What has improved since the last inspection?
Since the last inspection all the service users have had a holiday away with staff support. New Hutte Lane, 9 DS0000021495.V283684.R01.S.doc Version 5.1 Page 6 Requirements, which were issued following the last visit, have been addressed. This shows willingness by the service to comply with the law. Some of theses requirements were issued in relation to concerns over Health and Safety. These have all been addressed which helps to ensure the service users are living in a safe home. The manager has successfully completed the “ fit persons” process with CSCI. This means that he has proved that he is able to manage the home and that the Commission has agreed that he is safe to do so. 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. New Hutte Lane, 9 DS0000021495.V283684.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 New Hutte Lane, 9 DS0000021495.V283684.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: No standards were assessed from this section during this visit. New Hutte Lane, 9 DS0000021495.V283684.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): EVIDENCE: No standards were assessed form this section during this visit. New Hutte Lane, 9 DS0000021495.V283684.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): 17 Service users are offered a nutritious healthy diet. EVIDENCE: Menus were viewed and a discussion was held with the manager. The kitchen area was also viewed. The menus showed that a variety of food is offered to the service users and that Healthy options are always chosen when available. Staff shop for food on a weekly basis at a nearby supermarket. Service users are unable to vocally express what food they would prefer however service` users are able to refuse food. Staff have become aware of what the service users preferences are through monitoring food intake. This is documented in essential lifestyle plans. The freezer and fridge were viewed. Both appeared adequately stocked for a home of this size. The manager explained that Friday evenings are recognised as the start of the weekend by purchasing a takeaway meal. The manager confirmed that a weekly food budget of ninety-four pounds fifty is available for the home per week. New Hutte Lane, 9 DS0000021495.V283684.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: No standards were assessed from this section on this occasion. New Hutte Lane, 9 DS0000021495.V283684.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 Information about how to complain is clearly displayed within the home. EVIDENCE: The home is owned by the organisation The Brothers of Charity. Therefore a complaints procedure has been developed for all homes within this. A full version of this was available in the office. A shortened version has been laminated and was displayed on the wall of the office. The manager stated that small concerns are dealt with on a daily basis and staff always inform him of any action taken. Actual complaints are dealt with at the main site of the organisation in Huyton. The manager stared that no complaints had been made against the service since the last visit. The inspector can confirm that no complaints have been made to CSCI either. New Hutte Lane, 9 DS0000021495.V283684.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 Service users live in a comfortable well maintained home. EVIDENCE: A tour of the environment was undertaken and a discussion was held with the manager. All areas viewed appeared clean, well maintained and comfortable. Some minor works had been identified in two bedrooms during the last visit. These were viewed and had been addressed. The manager explained that definite plans had been made for the shower room to be converted into a wet room. New Hutte Lane, 9 DS0000021495.V283684.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): 33,35 Service users receive support from some staff that know them well and have had training to meet their needs. EVIDENCE: Discussions were held with the manager. Off duty rotas and a training plan were viewed. A leaflet advertising future training was also viewed. Off duty showed that the service is consistently staffed with two staff to support three service users during the daytime and one waking and one sleeping staff member overnight. The manager confirmed that following a management change there had been some staff movement amongst the team but that this had stabilised. Staff from another local home are also working at the home to ensure that they work sufficient hours to earn a wage. A letter in a care plan showed that one service user was not responding well to this disruption. The training plan and training records showed that staff have undertaken a variety of training to meet the needs of the service users. This includes all mandatory training. Managing challenging behaviour has become a mandatory subject as well as abuse awareness. Viewing a leaflet showed that the organisation also offers a wide choice of training on a regular basis. The manager confirmed that he discusses and identifies staff to attend training and then puts their name forward for inclusion to the main site. Topics offered included Dental health, and nutrition.
New Hutte Lane, 9 DS0000021495.V283684.R01.S.doc Version 5.1 Page 15 New Hutte Lane, 9 DS0000021495.V283684.R01.S.doc Version 5.1 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 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): 39 The home would benefit from undertaking Quality Assurance surveys. EVIDENCE: A discussion was held with the manager. The inspector has` prier knowledge that the Organisation The Brothers of Charity undertakes quality procedures on operational systems however these are not specific to New Hutte lane. Through discussion it became clear that the manager did not fully understand this standard. New Hutte Lane, 9 DS0000021495.V283684.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 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 2 X X X X New Hutte Lane, 9 DS0000021495.V283684.R01.S.doc Version 5.1 Page 18 YES 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 2 Standard YA32 YA39 Regulation 18 (1) (a) Requirement Timescale for action 30/04/06 31/07/06 The responsible individual must ensure that the staff team is stabilised. 24 (1) (a) The manager must ensure that (b) (2) (3) quality assurance surveys are undertaken at New Hutte lane and familiarise himself with this standard and relevant regulations. 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 YA24 Good Practice Recommendations The service should carry through its intentions to replace the existing shower room with a wet room. New Hutte Lane, 9 DS0000021495.V283684.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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