Inspection on 22/06/05 for Outreach Community & Residential Services 2 Devonshire Place

This inspection was carried out on 22nd June 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

Outreach Community & Residential... 01/12/06

Outreach Community & Residential... 30/03/06

Outreach Community & Residential... 14/12/04

Outreach Community & Residential... 23/08/04

Outreach Community & Residential... 21/01/04

Outreach Community & Residential... 03/09/03

Outreach Community & Residential... 07/01/03

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 2 Devonshire Place 2 Devonshire Place Prestwich Manchester M25 3FF Lead Inspector Keith Savery Announced 22 June 2005 09:30 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. Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Outreach Community & Residential Services 2 Devonshire Place 2 Devonshire Place Prestwich Manchester M25 3FF 0161 798 9023 0161 740 5678 None Outreach Address 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) Mrs Barbara Holden CRH 4 Category(ies) of MD - Mental Disorder - 3 registration, with number LD - Learning Disability - 1 of places Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14 December 2004 Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 5 Brief Description of the Service: Devonshire Place is one of a group of care homes managed by Outreach care services. Outreach is a charitable organisation offering 24-hour care, predominantly to Jewish people with a learning disability or mental health problem. 2 Devonshire Place is a five bed roomed terraced house owned by Irwell Valley Housing Association. It is located in a residential area of Prestwich where Outreach provide personal care and accommodation for four service users. The remaining bedroom is used as an office/sleep-in room.The property is located close to shops, pubs and Post Office, all of which are within walking distance. Public transport is available a short walk to the main road. Buses to and from Bury, Whitefield and Manchester pass nearby and a metrolink station is within walking distance. There is a private enclosed yard to the rear of the house. There are no parking facilities immediately outside the house but on street parking is available on the road at the end of Devonshire Place. Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over one day. Prior to the inspection, questionnaires were sent to residents, relatives, and other visitors to the home to ask them what they thought of the care provided. The response to the questionnaires by residents was good, and they indicated that they were satisfied with the care provided. Relatives also responded, and one said they felt that their relative was very well cared for. Professional visitors also responded and said they were satisfied with the care provided and the level of communication with the home. What the service does well: What has improved since the last inspection? What they could do better: The information given to residents on the home and what they can expect needs to be kept up to date. When residents have overnight stays away from the home, and take their medication with them, the manager needs to document the medication and make sure that the resident or their relative know what the medication is and when it has to be taken. She also needs to check this has been done properly on the resident’s return. Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 7 Staff need to receive training on the Protection of Vulnerable Adults in addition to watching the video. It is not enough to just watch the video. The loose wallpaper in the bathroom needs to be sorted. And consideration needs to be given to providing a shower for residents. 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 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 8 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 Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 9 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) 1, 2, 3, 4, 5 Residents are provided with sufficient information on the home in order to make a positive choice about living there. EVIDENCE: Information for residents regarding Outreach as an organisation, and what services and facilities are provided at the home they live in have been given to each resident. This information is retained by the resident in their bedroom. The information detailed in the Statement of Purpose and Service User Guide reflects the service provided, and with the exception of one minor piece of information (relating to a new member of staff being employed) was seen to be accurate. Residents are assessed prior to living at the home, and relevant information relating to their placement was seen to be in place on the files looked at. Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10 Each resident has a Individual Plan in place which supports their lifestyle and promotes their independence. EVIDENCE: The files of the 4 residents living at Devonshire Place were looked at. Each file was seen to contain an Individual Plan identifying goals and needs. Regular reviews of the plan which included resident involvement were also evidenced. Risk assessments were in place for each resident and detailed any area of risk associated with maintaining their independence such as going outside with/without support. Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 11 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) 11, 12, 13, 14, 15, 16, 17 Residents are enabled to live a full and active lifestyle participating in the local community as they choose. EVIDENCE: Residents are supported and encouraged to be independent as much as possible with regard to their chosen daily routine. However, staff do provide support as necessary. It was evident that residents undertaken a range of activities in the community socialising with all members of society. Public transport and “ring and ride” are utilised to access community facilities. Residents living at the home are involved in attending college, visiting family, undertaking voluntary work, going to the shops, going to galleries and concerts, going to the pub, etc. The provision and arrangements in place for shopping, preparation and serving of food was satisfactory. Residents are encouraged to assist in the preparation of a meal, and where possible are encouraged to undertake making a meal without staff assistance, particularly breakfast and lunch. The Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 12 evening meal is seen as a social event, and is used as a time for everyone to catch up with one another. Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 13 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) 18, 19, 20, 21 Residents personal and health care needs are met, with residents own routines within the home promoted and accommodated. EVIDENCE: Residents receive assistance with personal care according to their needs and preferences. Care workers of the same gender provide support via a keyworker system. Residents receive regular health checks such as opticians, dentists, etc. The home has had a recent visit from the Commission For Social Care Inspection’s pharmacist, who was generally satisfied with the arrangements in place for the safe handling and distribution of medication, although she did feel that when residents stay away from the home (such as when visiting families, or going on holiday) all medication leaving and returning to the home must be documented and the resident concerned subject to a risk assessment. This has not yet been implemented. Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 14 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 home has a complaints procedure in place known to residents. Staff have some understanding of the vulnerable adults procedure but have not yet received any formal training which does potentially leave residents in vulnerable position. EVIDENCE: A clear complaints procedure is in place, and is detailed in the Service User Guide, as well as being displayed. The complaints procedure has been explained to residents, and each has a signed statement to this effect held on their personal files. No complaints have been received by the Commission For Social Care Inspection in relation to Devonshire Place. The home has in place a video on the Protection of Vulnerable Adults, but other than watching this video staff have not received in-depth training. Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 15 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, 25, 26, 27, 28, 29, 30 Residents live in a safe, and homely environment conducive to their needs. EVIDENCE: Devonshire Place is a small and homely home for 4 residents. Generally it is well maintained, and clean and tidy. It was noted that the wallpaper in the bathroom was loose, and residents would benefit from the provision of a shower to give them greater choice in washing. Residents are encouraged to be involved in choosing furniture, colour schemes etc and there was some evidence of this on this inspection. Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36 The staff group are well supported in their roles, and feel able to meet the needs of residents. EVIDENCE: Sufficient staff are employed at the home to meet residents needs. The staff group was said to be settled and happy and they felt to be well supported in their roles with regular supervision in place. Staff files were looked at and contained all the required information. Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 17 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, 38, 39, 40, 42 The home is well run and systems are in place for the promotion and protection of residents. EVIDENCE: Systems are in place for the home to be managed effectively, and for the manager to support her team in supporting residents. Communication was said to be good with regular staff meetings taking place. Feedback from relatives and other visitors to the home indicate they feel the home is well run and they are satisfied with the care provided. All health and safety documentation was in place and up to date, and no hazards were noted during this inspection, nor where any issues raised with the inspector. Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 18 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 2 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Outreach Community & Residential Services 2 Devonshire Place Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x 3 x Version 1.30 Page 19 F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc 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. 2. Standard 1 20 Regulation 4 13 Timescale for action The Statement of Purpose and 30th Service User Guide must be kept October up to date. 2005 When residents have overnight 30th stays away from the home, the October arrangments in place for the safe 2005 storage and administration of the medication must be fully documented and supported by a risk assessment. Staff must receive in-depth 30th training on the Protection of November Vulnerable Adults. 2005 The wallpaper which has become 30th loose in the bathroom needs to October be attended to. 2005 Requirement 3. 4. 23 24 18 23 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 24 Good Practice Recommendations The choice of bathing should be increased to include access to a shower. Outreach Community & Residential Services 2 Devonshire Place F56 F06 S8449 2 Devonshire Pl Outreach v215283 220605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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. 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