Inspection on 01/12/06 for Oxford Road

This inspection was carried out on 1st December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

Other inspections for this house

Oxford Road 19/01/06

Oxford Road 19/05/05

Oxford Road 08/09/04

Oxford Road 12/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Oxford Road 39 Oxford Road Birkdale Southport Merseyside PR8 2EG Lead Inspector Mrs Janet Marshall Unannounced Inspection 1 December 2006 15:30 st Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 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 Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 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. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oxford Road Address 39 Oxford Road Birkdale Southport Merseyside PR8 2EG 01704 564595 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) Speciality Care (Rest Homes) Limited Mr Stephen Stanley Wilkinson Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 16 LD That the registered providers, Speciality Care (Rest Homes) Ltd do not rent, sub-let or otherwise use or permit the use of the registered premises to accommodate overseas students, staff or other persons 19th January 2006 Date of last inspection Brief Description of the Service: The home is a large detached Victorian property in Birkdale, Southport that has places for up to sixteen young people (16-25 yrs old) with learning disabilities. All are students at Arden College. Students must attend Arden College to use residential services. The company running the home and the college is called Speciality Care Homes Limited and it is a private company. Each student has their own bedroom and share 3 lounges, 1 kitchen and 4 shower/toilet areas. There is a large garden to the rear of the property, which is well maintained and used by the Colleges gardening course students. There is parking to the front of the property, both on the forecourt and on the street. The home has good access to public transport to Southport, Liverpool and Preston. It is about 5 minutes drive from Southport town centre and there has good access to leisure & shopping facilities. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection visit (site visit) at the home this inspection year. The inspection visit was unannounced and took place over one day for a total of 4 hours. The Commission considers 22 standards for Care Homes for Adults (18-65) as Key Standards, which have to be inspected at least once in a 12-month period. All Key standards, which are identified within the main body of the report, were inspected during this inspection. During the site visit the requirements from the last inspection report were discussed and checked with the unit manager. A partial tour of the home was carried out. Care records and other required records were inspected. Records that were examined included a selection of students care plans, daily diaries, medical notes, medication and records, staff rotas and certificates of health and safety checks. 4 students were “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more students to get an idea of what is like to live at the home and how that person’s needs are being met. A pre - inspection questionnaire, which was sent out to the home was completed and returned to the Commission prior to the inspection. Discussion took place with the acting manager, the unit manager and a number of students and staff. Comments made during discussions, results of surveys, observations made and records examined during the visit have been used towards measuring standards for the purpose of this report. What the service does well: The home carry out full needs assessments before a student moves into the home. This ensures that the persons needs will be met at the home and that it is going to be the right place for them to live. Care plans, which are well written, have a lot of information about the support that students need to help them make choices and decisions and take responsible risks as part of an independent lifestyle. Students said: “I decide what I wear” “I help to shop for food and choose what we buy” “I decide what to do and where to go at evenings and weekends” Students live healthy and active lifestyles, which are well supported by the staff team. Students attend college during the week for education and training and in their spare time enjoy recreational and leisure activities both at home and in the community. Students said: “Really like college” Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 6 “I like what I do at college” “The tutors and staff here help me a lot” “Staff helps me with my college work” “I have a lot of friends at college” “I love going to college” Students are supported and encouraged to shop for and cook food that is healthy. Student’s health and personal care is well monitored and recorded making sure that they are healthy and well. Students have the information they need so that they can tell somebody if they are unhappy. They are confident that they will be listened to. Student’s benefit from staff that are well trained and good at their jobs. Staff have good knowledge and understanding of the students and how best to support them. The home is run well to the benefit of the students and staff. Every body spoken to said that the managers are open, positive and approachable. Students said: “I like all the staff, they are really nice” “The staff help us a lot”. “The staff understand me” “I can talk to any of the staff”. “The home is run very well” “There is always a manager to talk to” “There is an open door policy” “The managers are approachable and positive” What has improved since the last inspection? What they could do better: Some students bedrooms need to be redecorated and items of furniture, which were showing signs of wear and tear, must be replaced. This will ensure the comfort and dignity of the students. Items of prescribed medication and the instructions for administering the medication should be printed onto the MAR sheet by a pharmacist. If for some reason this cannot be done and they have to be hand written by a member of staff at the home, it is important that are checked and signed by another person. This is to ensure the safety of the students. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 7 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. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 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 the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Detailed assessments are carried out to make sure that the home will meet student’s needs. EVIDENCE: There are fourteen students living at the home. The pre-inspection questionnaire showed that no new students have moved into the home since the last inspection. The manager of the home said full assessments were carried out before the students moved in. Those assessments were not available at the home the manager said that they are kept in the main office at Arden College. There was however assessment documents at the home for each of the students, which have been put together using information from those initial assessments, which are kept at the college. Assessments for four of the students were looked at in detail. The assessments, which have been used to put together each persons, care plan provided a lot of good information about the students needs. For example, support needs, likes and dislikes, education needs, communication needs, social needs and medical needs. The home had written assessment procedures, which is information about how assessments are carried out. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 10 Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 11 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 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students are supported to make choices and decisions and take responsible risks as part of an independent lifestyle. EVIDENCE: A care plan was available at the home for each of the students. A number of care plans were looked at as part of the case tracking process. They were well written and included a lot of important information about the person. It is important for staff to have this information so that they know about the students and how best to support them. Case tracking showed that the care plans were put together using information taken from the assessment. Information about students and the things that they need support with was available in a lot of detail. For example help with health and personal care, getting out and about, communication, behaviour, relationships, daily living skills and education. Care plans also included information about the things that students do well. Students spoken with said that they know about their care plans and have helped put them together. Care plans, which were looked at, were signed to Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 12 show the involvement of students, their key worker and other people that are important to them such as family. Each persons care plan is reviewed on a regular basis. Reviews take place to check that the care plan is relevant and up to date. Students are involved in review meetings, this is important so that they have an opportunity know about their care plan and are happy with it and agree to it. Care plans and other information about students were stored in a safe place. Each student has a key worker, this is a member of the support staff at the home that knows the student well. They also have a personal tutor at college. Students are encouraged and supported to make choices and decisions about all aspects of their lives. To ensure their safety some students need help to make choices and decisions and others need help because they have difficulties communicating verbally. Picture symbols and sign language are used to help students with communication difficulties make choices and decisions. Care plans included information about students preferred communication methods and any choices and decisions which are made by others and why. During discussion students said that they make choices about things such as what to wear, where to go and what to eat. The following comments made by students supported this: “I decide ” “I help to shop for food and choose what we buy” “I decide what to do and where to go at evenings and weekends” Students care plans included a section about communication. This described the support, assistance and information that students need to help them communicate effectively. Information displayed around the home in picture format and large clear print included menus, house rules and routines. Risk assessments were part of each students care plan. Risk assessments are important so that students can take risks as part of an independent lifestyle. Risk assessments were available for students for such things as travelling, handling money and activities both inside and outside the home. Risk assessments for four students were looked at. They detailed activities, which pose a risk to the student and information about the support that staff need to provide to enable them to take risks safely. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 13 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, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students are encouraged and supported to live active and healthy lifestyles. EVIDENCE: All of the students attend college during the week. Staff support students at home if they are unable to attend college. Students are well supported with their education and training. Discussion with staff, students and records that were looked at showed this. Care plans included a section, which had a lot of important information about student’s education and the help that they need. Each person has a structured timetable for college. Timetables, which were looked at, showed that students take part in lots of different things at college such as Information Technology (IT), numeracy, cooking and sports. Student’s progress was well recorded, as was information about goals and targets. The records showed that staff at home and tutors at college work together with the students to develop their educational and training skills, which are achievable and realistic. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 14 Students spoken with were asked about college, they made the following comments: “Really like college” “I like what I do at college” “The tutors and staff here help me a lot” “Staff help me with my college work” “I have a lot of friends at college” “I love going to college” Each persons care plan included information about their interests and hobbies and any support that they need with them. Daily records and discussion with students showed that in their spare time they are involved in leisure activities both at home and in the community. During the visit students were seen relaxing in front of the television, playing board games and talking to friends and staff. Some students were seen getting ready to out with staff. The pre-inspection questionnaire described the things that are available for students to do in and outside the home, they include: At home, painting, baking, computer games, jigsaws and music. Outside the home, visits to the pub, meals out walking, shopping, swimming, theatre and roller-skating. A number of students spoken with made the following comments about the things that they like to do and the places that they go in their spare time: “I go out a lot” “I like to watch my television and listen to music in my room” “I go to see my friends and they come to see me here” “I like to go to the cinema” “We go bowling” “I like to play computer games” Shared rooms in the house and students bedrooms which were looked were equipped with such things as TVs, music systems and computer games. Also there were books, board games, jigsaws and art and craft materials around the house. Care plans included a section about travelling. This provided information about the support that students need to travel on public transport or when out walking. Students spoken with said that they use public transport such as the buses and trains when they go shopping or to take part in leisure activities. The unit manager and staff said that visitors are welcomed at the home. There was a visitor’s book at the home. There were a number of visitors to the home at the time of the inspection. Students, the manager and staff made them all welcome. Visitors made the following comments: “I am always made to feel welcome”, “Everybody is polite and welcoming” Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 15 Staff encourages and support students to take part in daily routines at the home as a way of promoting their independence. Care plans which were looked had independent living programmes which included daily living tasks that students are expected to do and what support they need. Responsibilities include, cleaning and tidying their rooms and other shared parts of the home, laundry, shopping and cooking. Students were seen using keys to their rooms. They also have a lockable cabinet for the safekeeping of personal items. There are some house rules which students are expected to follow for example rules on smoking, alcohol and drugs, information about house rules was available at the home. Students said that they know about the house rules and are happy with them. The home has a large kitchen, which was equipped with appliances and equipment such as a cooker fridge and freezer. Kitchen cupboards were stocked with plenty of pans, dishes and cutlery and there was plenty of fresh, frozen and tinned food. One student explained that they take it in turn to cook. On the day of the inspection a member of staff was supporting 3 students to prepare the evening meal of spaghetti and meatballs in a tomato sauce. Students appeared to enjoy the tasks that they were each given. The food that they were preparing was sampled. It was very tasty. Menus, which were varied and healthy, were seen displayed at the home. They were available in picture format for students that have communication difficulties. Students spoken with said they are happy with the choice of food. Several students confirmed that they are given a choice at meal times. One student spoke about the special diet that he is on. The student said that he is under a dietician to help him loose weight and that with the support of staff has lost a lot of weight. Case tracking showed that staff monitor and record students special dietary needs. One student said that they each take it in turn to do the shopping. Another student said, “I like shopping for food”. The home has a large shared dining room, which is furnished with a number of small dining tables and chairs. Tables were attractively set. Pictures and information about healthy eating was displayed on the walls in the dining room. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 16 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, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students are provided with appropriate personal and healthcare support, which ensures their physical and emotional well-being. EVIDENCE: Students Care plans included a section which recorded a lot of important information about their health and personal care and support needs. staff spoken with showed that they are flexibille and sensitive towards helping students with their health and personal care They made the following comments which supported this: “It is important to make sure that all personal care is carried out in private for example the persons bedroom or the bathroom” “people should knock before entering a students bedroom” “students can have a bath when they want” “I talk to students when helping them” Staff reported that students are encouraged to make choices about their personal care such as when to get up and go to bed, what clothes to wear and when to have a bath or shower. This was also supported by the following comments made by students. “I choose what I wear each day” Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 17 “I get up early in the week for college but I can sleep in at the weekends if I want”. “I Choose when I have a bath or shower” “I tell the staff when I am having a bath” All students were clean and attractively dressed on the day of the visit. Detailed health records for each person were available in their care plans. A selection of records were examined and showed that students with specialist healthcare needs are well supported and their conditions monitored. Records showed that studdents are offered and attend minimum health care checks such as dentists, chiropodist, opticians and GPs. Information given in the preinspection questionaire and records that were looked at showed that students are registered with a local GP. Records also showed that students are supported to attend outpatients and other appointments when required. A medication policy was available at the home. Records showed that staff have undertaken a medication awareness course. A selection of students medication and medication record sheets (MAR) were looked at. Medication details and instructions for giving out the medication was hand written on one students MAR sheet. This was discussed with the manger. The manager was advised that MAR sheets should be printed by a pharmacist. If this is not possible and has to be hand wriiten by a member of staff then the hand written information should be checked and signed at the time of recording by a second person. Other records and medication which was checked was in good order. They were stored correctly and in a safe place. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 18 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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures ensure that students are protected from abuse harm or neglect. EVIDENCE: There has been no complaints received by the Commission about the home since the last inspection. Information provided in the pre-inspection questionnaire and discussion with the unit manager and the students showed that there have been no complaints made at the home in the last 12 months. There was a complaints procedure on display at the home. It was available in written and picture format. The manager said that students friends and family also have the information that they need to make a complaint if they wish to. Discussion with the unit manager and the students showed that would tell somebody if they were uphappy and they were confient that something would be done. The following comments supported this: “I have nothing to complain about, but would if I needed to”. “I know about how to complain, I’ve done it before and it was sorted”. “there is stuff on the wall which tells you how to complain”. “I would not be scared about telling someone if I was unhappy”. A copy of the local authorities protection of vulnerable adults procedure was avaialbe at the home. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 19 Staff spoken with were able to describe what action they would take if they suspected or evidenced that a student was being abused. Discussion with a number of staff and training records which were looked at showed that all staff that work at the home have completed protection of vulnerable adults training. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 20 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 & 30 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. In the main students benefit from a comfortable and safe environment. EVIDENCE: The home is a large detached Victorian house on a popular road in Birkdale, Southport close to the town centre. It has a large driveway and there are gardens to the front and back of the house. The home is close to shops, pubs and other community facilities including transport links such as bus stops and the train station. The pre-inspection questionnaire shows that there have been no changes made to the home since the last inspection. All shared parts of the home including the kitchen, dining room and lounges were looked at. Shared rooms looked comfortable and were furnished and decorated to a good standard. Students and staff were seen in the lounges relaxing, chatting or watching TV. Items such as pictures, photographs and occasional tables gave the house a homely and comfortable feel. A number of student’s bedrooms were also looked at. Some rooms, which were looked at, are in need of decorating and some items of furniture, which were showing signs of the wear and tear need replacing. This was discussed Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 21 with the manager. The repairs and replacements must be carried out to ensure the comfort and dignity of the students. All areas of the home were clean and tidy at the time of the visit. Students spoken with said that they help to keep the house clean and tidy. Care plans, which were looked at, showed that students are supported to carry out daily living tasks around the house such as cleaning cooking and laundry. The home had Policies and procedures, which are rules that people have to follow so that the home is clean, tidy and safe for students, staff and visitors. For example rules about infection control and health and safety. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 22 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, 34 & 35 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The staff team have the qualities and receive the training and support that they need to meet the needs of the students. EVIDENCE: The pre-inspection questionnaire provided details of the staff that work at the home. It showed that the staff team is made up of 3 officers in charge including the unit manager, and 18 support workers. A four-week staffing rota was sent with the pre-inspection questionnaire. It showed that there are seven support staff and one officer in charge on duty during each day and evening and two staff on duty during the night. There was 8 staff on duty at the time of the inspection visit. The files for three staff members were looked at and checked during the visit. Each file contained personal information such as references, criminal record bureau checks, which are a police check, interview notes and records of supervisions with the manager. The files also contained copies of workers completed application forms, which show that that the person has the necessary experience and the qualities for the job. Training and development records and certificates were also seen. Recruitment and selection policies and procedures, which are rules that must be followed for taking on new staff, were available at the home. A member of staff explained the process that they went through before being allowed to Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 23 work at the home. This included, completing an application form, having an interview and police and reference checks. The records looked at and discussion with a member of staff showed that students are protected by the way the home recruit staff. A record of recent and future training for staff was provided with the preinspection questionnaire. The records showed that all staff have completed training, which is required of them. Recent training includes first aid, fire safety, equality and diversity, manual handling, protection of vulnerable adults and medication awareness. Most of the staff that work at the home have completed or have started a National Vocational Qualification (NVQ) level 2 or 3 in care. Future training includes first aid, person centred planning and National Vocational Qualifications level 3 & 4 in care. All mandatory training, which is training that all staff have to complete by law, is repeated each year. Comments made by staff about training included: “We are offered at lot of training” “I enjoy the training” “Training is important because it helps us understand things better”. During the visit staff were spoken with showed a very good understanding of their job. They also showed that they know the students well and how best to support them. The following comments made by staff supported this: “The students come first”. “It is important that everybody is treated as an individual, to do that we need to know what each persons needs are”. “We support students with their lives at home and at college” Staff were seen interacting with students and responding to them in a polite and sensitive way. Some staff were seen chatting with students about their day at college and others were involved in leisure activities with students. Students spoken with were complimentary of the staff, they made the following comments: “I like all the staff, they are really nice” “The staff help us a lot”. “The staff understand me” “I can talk to any of the staff”. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 24 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, 39 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well to the benefit of the students and staff. EVIDENCE: Greta Morphet is the acting manager for this home. This is because she has not yet been approved by the Commission as the registered manager. Her application to become registered manager is being possessed. Greta Morphet is however the registered manager of a number of other similar homes in the area, which are also run by the company. As the acting manager Mrs Morphet has overall responsibility for the running of the home. The unit manager Gillian Naylor is responsible for the day-to-day management of the home. The inspection was carried out with both the acting manager and the unit manager. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 25 Examination of records and discussion with the acting manager, Greta Morphet and the unit manager showed that they are competent and experienced. They both have an open and positive management approach this was observed during the visit and supported by the following comments made by staff: “The home is run very well” “There is always a manager to talk to” “There is an open door policy” “The managers are approachable and positive” Records showed that the managers take part in regular training. Questionnaires are given out to students and relatives. They ask people what they think about such things as the environment, the staff, personal care and communication. The answers that people give are used to measure the quality of the service. A number of completed questionnaires were seen. They showed that the people are happy with the home. A person that works for the company but is not involved in the day to day management of the home visits the premises each month. This has to be done by law to make sure that the home is run well. The visitor meets with the students and staff, looks at the premises and checks some records. After the visit they write a report about the visit. Copies of the reports were kept at the home. Availble at the home were health and safety policies and procedures , these are rules that people have to follow to make sure that the home is safe for students and staff. The rules say that the manager and staff have to carry out checks at the home. They include checking the fire alarms, gas and electricity systems and equipment. Records showed that the checks are carried out when the need to be. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 26 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 4 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 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 1 X X X X 3 X Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 27 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. Standard YA37 Regulation 8 Requirement A registered Manager must be in post. (This was a previous inspection requirement) All parts of the home must be kept in good state of repair. Timescale for action 01/04/07 2. YA24 23 01/04/07 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 YA20 Good Practice Recommendations Medication administration records should be recorded safely. Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 28 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 © 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 Oxford Road DS0000005361.V302244.R01.S.doc Version 5.2 Page 29 - 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. 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