Inspection on 07/03/06 for Outreach Community & Residential Services 17 York Avenue

This inspection was carried out on 7th March 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Outreach Community & Residential... 20/02/07

Outreach Community & Residential... 06/10/05

Outreach Community & Residential... 29/03/05

Outreach Community & Residential... 27/07/04

Outreach Community & Residential... 04/03/04

Similar services:

Whitewalls

Home Farm

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

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

CARE HOME ADULTS 18-65 Outreach Community & Residential Services 17 York Avenue 17 York Avenue Prestwich Manchester M25 0FZ Lead Inspector Kath Smethurst Unannounced Inspection 7th March 2006 01:00 Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.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 Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.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. Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Outreach Community & Residential Services 17 York Avenue 17 York Avenue Prestwich Manchester M25 0FZ 0161 773 5053 0161 740 5678 Address 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) Outreach Community & Residential Services Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 4 service users to include: up to 4 service users in the category of LD (Learning Disabilities under 65 years of age) The service should employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. 6th October 2005 Date of last inspection Brief Description of the Service: 17 York Avenue is a small care home providing long-term support for four people with a learning disability. It is part of a group of homes managed by Outreach Community & Residential Services, a charitable organisation, which has nine other homes in the south Bury/north Manchester area. The homes are predominantly for Jewish people, although care is also offered for nonJewish residents. 17 York Avenue is an end terrace house in a residential area of Prestwich. There are three single bedrooms on the first floor and one on the ground floor. The home has a small, enclosed lawned area at the rear and on street parking outside. There are shops within close walking distance and public transport is available nearby. Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over two and a half hours during the afternoon. The inspector looked around the home, checked a care plan and some records. In order to obtain more information about the home the acting manager and two service users were spoken with. What the service does well: What has improved since the last inspection? What they could do better: The carpet in one of the service users bedrooms needs to be relayed or replaced to keep it safe and flat. While the home is clean the lounge carpet and suite should be cleaned to make sure standards don’t fall below an acceptable standard. To help staff do an even better job, ways of helping them learn more about learning disabilities should be looked at. Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 Page 6 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. Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.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 Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.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): Not assessed during this visit. EVIDENCE: Standard 2,3, 4 and 5 were examined during the last inspection and were found to be satisfactory. There have been no new admissions to the home since the last inspection. Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.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 The care planning system is good providing staff with the information and guidance they need to ensure service users needs are met. EVIDENCE: One care plan was examined. Outreach use ‘Individual Personal Plans’ (IPPs) to record information about residents’ needs, wishes and aspirations. Information in care records and risk assessments was extensive, personalised and up to date. Risk assessments cover both individual and environmental risks. The care plan contained a wide range of information including biography details, likes/dislikes, strengths and details of support needs and goals. The plan read set out clear guidance for staff to take when providing care. Progress notes completed by staff gave a good indication of support provided and of service users well being. In addition to daily notes of residents’ general welfare and progress, monthly summaries are also kept. Risk assessments are completed and cover individual and environmental risks. Regular reviews are held with evidence of the involvement of service users. Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.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): 13, 14 & 15 Service users are actively supported to lead meaningful lives within the community, take part in leisure activities and maintain contact with their family and friends. EVIDENCE: Support for service users to lead a valued life in the community is a high priority in this home. For example one service user has a job in a local shop. Service users also take part in a varied range of social and leisure activities within the local community and in the main lead busy and active lives. Activities outside the home include visits to leisure centres, bowling, cinema, shopping, evening classes and meals out. For example on the day of the visit one service user had been shopping for her weekly groceries and was later in the evening going out for a meal. While another service user had planned to attend a dance class that evening. Two of the service users were also due to go to Ibiza on holiday in the summer. Discussion with the manager indicated that the service users had been actively involved in the decision about where the holiday would take place. Good practice was noted, as staff time was provided to accompany service users outside the home. Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 Page 11 Service users are also able to pursue their interests within the home. For example while a TV is provided in the lounge all service users have their own Television in their bedrooms. One service user has an extensive collection of books. Two residents have their own computers one of which has Internet access. Discussion with the acting manager indicated that none of the residents had shown an interest in being politically active but if this arose support would be provided. Service users are actively supported to keep in contact with family and friends, with frequent calls and visits taking place. Service users in the home are fully involved in activities within the community so have the opportunity to develop friendships outside the home. Family and friends are welcome to visit the home. Discussion with the acting manager indicated the only restrictions placed would be at the request of a resident Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 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 the following standard(s): 19 Residents’ physical health was promoted and maintained through regular monitoring and health care checks. EVIDENCE: Examination of records provided evidence that the service users health care needs are regularly monitored. Support is also provided for them to attend regular health check ups and appointments. For example specialist services such as speech therapy. Records of health related appointments are recorded in residents care files and include details of visits to GPs, chiropodist, dentist and dietician the outcome of which is documented. Good practice was noted, as “healthy eating” is encouraged. An example of which relates to a service user being supported to eat a more healthy diet. Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 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 the following standard(s): Not assessed during this visit. EVIDENCE: Standard 22 and 23 were examined during the last inspection and were found to be satisfactory. Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 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 the following standard(s): 24 The home provides service users with a comfortable, safe and homely place to live. EVIDENCE: Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 Page 15 York Avenue was comfortable, bright and homely, with a good standard of décor and furnishings. The property is owned by Outreach. Service users had the use of a lounge, dining room, kitchen, a ground floor toilet and a first floor bathroom and separate toilet. Smoking was not allowed. Two service users showed the inspector their bedrooms. Good practice was noted, as both were highly personalised. During last inspection it was noted that the arms to the settee and chairs in the lounge were becoming quite marked (due to general wear and tear). The carpet in the ground floor bedroom was also beginning to ripple (causing a possible future trip hazard). This remains outstanding and as such needs to be addressed to ensure standards don’t fall below an acceptable standard. The acting manager advised that the oven had developed a fault and was not operational. The fault needs to be repaired or a new cooker obtained. Responsibility for cleaning/housework is shared between service users and staff. This continues to work well, as the home was very clean and tidy. Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 Page 16 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): 32 A training programme is in place, which in the main ensures staff receive the training they need to meet service users needs, but opportunities for staff to undertake further specialist training specific to learning disabilities should be developed. EVIDENCE: Relationships between staff and service users seemed warm, caring and friendly, with staff demonstrating a good understanding of service users support needs. Residents spoken with indicated they were satisfied with the care and support provided. Currently the staff team comprised of the acting manager and two support workers (plus three bank workers). The acting manager and one support worker are in receipt of NVQ (National Vocational Qualification) level 2. The remaining support worker has recently been appointed to a permanent post and has not yet commenced NVQ training. Discussion with the acting manager indicated she was unsure whether bank staff have attained NVQ. The acting manager is advised to clarify with bank staff whether they have attained an NVQ award. This needs to be addressed to ensure percentage of NVQ qualified staff does not fall below 50 . Staff training records examined showed a good range of mandatory training is provided including fire safety, food hygiene and health and safety. In addition Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 Page 17 staff undertake training in Jewish customs and traditions. During the last inspection it was recommended that staff be offered more training specific to learning disabilities. This remains relevant and the recommendation is carried forward. Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 Page 18 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 The leadership in the home has changed. However, this was being well managed, with clarity and stability being maintained and morale remaining good. EVIDENCE: Anita Taylor (Registered Manager) is currently on a six-month secondment to another post. Sonia Book has been appointed Acting Manager in the interim. The acting manager has worked at York Avenue as a support worker for a number of years and knows the residents well. Discussion with the acting manager indicated it is not clear if the registered manager would be returning, but current management arrangements would continue until at least June 2006. The acting manger is receiving advice and support from staff within Outreach. Management training has been arranged, which Sonia was due to commence the following week. The organisation has also indicated to the acting manager they would like her to undertake the NVQ level4 registered managers award. Despite the changes there remains a clear line of accountability in the home which both residents and staff are aware of. Record Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 Page 19 keeping remains good and residents spoken with indicated they continue to be satisfied with the care and organisation of life in the home. The CSCI need to be kept informed in regard to the position of the registered manager once her secondment has finished. If the registered manager does not return then a new manager will need to be appointed and an application for registration made with the CSCI. Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 Page 20 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 X 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 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000008447.V284682.R01.S.doc 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 4 15 3 16 X 17 X Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X 3 X X X X X X Version 5.1 Page 21 Outreach Community & Residential Services 17 York Avenue 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. 1 Standard YA24 Regulation 16 Requirement The cooker (oven) must be repaired or replaced. Timescale for action 01/04/06 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 rippling in the ground floor bedroom carpet should be addressed. As planned, the lounge suite should be deep cleaned. The access arrangements to cleaning products should be documented within the home’s general risk assessment. The rippling in the ground floor bedroom carpet should be addressed. As planned, the lounge suite should be deep cleaned. Opportunities for further service specific training should be developed. 2. YA30 3. YA35 Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Outreach Community & Residential Services 17 York Avenue DS0000008447.V284682.R01.S.doc Version 5.1 Page 23 - 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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